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Patent Foramen Ovale Complicated With Renal Infarction and Pulmonary Embolism: A Case Report With Literature Review

by Ohira, Yoshiyuki , Ie, Kenya , Matsuda, Takuya , Okuse, Chiaki , Ashikaga, Kohei , Ishizuka, Kosuke , Iizuka, Yasuaki , Tsuchida, Tomoya , Matsuda, Takahide

in Abdomen / Anticoagulants / Antigens / Asymptomatic / Back pain / Blood clots / Blood tests / Cardiac/Thoracic/Vascular Surgery / Cardiology / Case reports / Catheters / Dyspnea / Internal Medicine / Proteins / Pulmonary arteries / Pulmonary embolisms / Pulmonary hypertension / Thrombosis / Ultrasonic imaging / Veins & arteries

2023

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Patent Foramen Ovale Complicated With Renal Infarction and Pulmonary Embolism: A Case Report With Literature Review

by Ohira, Yoshiyuki , Ie, Kenya , Matsuda, Takuya , Okuse, Chiaki , Ashikaga, Kohei , Ishizuka, Kosuke , Iizuka, Yasuaki , Tsuchida, Tomoya , Matsuda, Takahide

2023

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Patent Foramen Ovale Complicated With Renal Infarction and Pulmonary Embolism: A Case Report With Literature Review

by Ohira, Yoshiyuki , Ie, Kenya , Matsuda, Takuya , Okuse, Chiaki , Ashikaga, Kohei , Ishizuka, Kosuke , Iizuka, Yasuaki , Tsuchida, Tomoya , Matsuda, Takahide

2023

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Journal Article

Patent Foramen Ovale Complicated With Renal Infarction and Pulmonary Embolism: A Case Report With Literature Review

Ohira, Yoshiyuki,

Ie, Kenya,

Matsuda, Takuya,

Okuse, Chiaki,

Ashikaga, Kohei,

Ishizuka, Kosuke,

Iizuka, Yasuaki,

Tsuchida, Tomoya,

Matsuda, Takahide

2023

Overview

A 48-year-old man visited our emergency room after experiencing sudden left back pain, diaphoresis, and nausea. The patient underwent physical and laboratory examinations. Physical examination revealed tenderness in the left costovertebral angle. Laboratory examination revealed a slight elevation in D-dimer levels. Contrast-enhanced computed tomography revealed a bilateral pulmonary embolism and left renal infarction. Back pain was resolved following anticoagulation therapy with heparin. Transesophageal echocardiography revealed a patent foramen ovale (PFO). The patient was discharged on an anticoagulant, apixaban. Identifying the cause of paradoxical embolisms, such as an atrial septal defect or PFO, in cases with an arterial embolism in a young patient with no underlying disease is important.

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Springer Nature B.V,Cureus

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