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Patent foramen ovale and anticardiolipin antibodies, a strange cause of bilateral kidney infarcion
Foramen oval permeable con anticardiolipina+, una causa rara de infartos renales múltiples
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We present the first case of bilateral renal infarction associated with patent foramen ovale and anticardiolipin +.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient was 38-year-old male with persistent pain in right renal flank with a diagnosis of renoureteral colic/acute pyelonephritis. Pain worsening and new consultations, prompted patient admission. Physical examination revealed blood pressure 147/87<span class="elsevierStyleHsp" style=""></span>mmHg and body temperature of 36<span class="elsevierStyleHsp" style=""></span>°C, heart with regular rhythm, no murmurs and with preserved pulmonary sounds and pain on the right flank with palpation but not induced with percussion.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The blood chemistry showed increased LDH and APTT, with normal renal function and without proteinuria or hematuria. The electrocardiogram showed no signs of acute myocardial ischemia, and an abdominal-pelvic ultrasound revealed areas of hyperechogenicity in the right kidney. CT angiography revealed bilateral renal perfusion defects (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), which confirmed the diagnosis of bilateral renal infarction by arteriography. The anticardiolipin antibodies were positive and a transesophageal echocardiogram revealed a patent foramen ovale without aneurysm of the interatrial septum, with the passage of bubbles while performing Valsalva maneuver (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>, <a class="elsevierStyleCrossRef" href="#sec0015">Video 1</a>). The patient developed ischemic colitis 12 days later: oral anticoagulation was started. The evolution was satisfactory and 6 months later the patient was asymptomatic and without recurrences.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Renal infarction is characterized clinically by low back pain and refractory arterial hypertension. Leukocytosis, hematuria and high CRP and LDH may be present. Renal perfusion defects in a CT angiography are very suggestive and renal arteriography is the gold standard for diagnosis</p><p id="par0025" class="elsevierStylePara elsevierViewall">Iwasaki et al.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">2</span></a> described a case of isolated patent foramen ovale manifested as renal infarction with impaired renal function. Nara et al.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a> diagnosed bilateral renal infarction in a patient with poorly controlled arterial hypertension, and discovered a patent foramen ovale. Finally, Ronco et al.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">4</span></a> attended a hypertensive urgency in a patient that was found to have renal infarction and patent foramen ovale. Transesophageal echocardiography establishes the diagnosis of permeable foramen ovale. The antiaggregation begins with the first embolism; percutaneous closure can be considered in case of recurrence or aneurysm of the interatrial septum. The antiphospholipid syndrome presents with arterial and venous thrombosis,<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">5–7</span></a> the diagnosis is based on clinical and biochemistry findings<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a> and is candidate to early anticoagulation.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Here we have described the first case with patent foramen ovale, antiphospholipid syndrome and renal infarctions. We believe that it is indicated to perform an analytical and echocardiographic studies in patients with renal infarctions to diagnose structural abnormalities or thrombophilias so that antiplatelet or anticoagulant treatment is initiated early.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors do not declare conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:2 [ "identificador" => "xack334106" "titulo" => "Acknowledgements" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pérez Díaz P, Sánchez de la Nieta García MD, Piqueras Flores J, Maseda Uriza R, Requena Ibáñez JA, Rayo Gutiérrez M. Foramen oval permeable con anticardiolipina+, una causa rara de infartos renales múltiples. Nefrologia. 2018;38:105–107.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0050" class="elsevierStylePara elsevierViewall">The following are supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0015" ] ] ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1441 "Ancho" => 2833 "Tamanyo" => 272683 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bilateral renal perfusion defects.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1455 "Ancho" => 2833 "Tamanyo" => 201428 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Permeable ovale foramen.</p>" ] ] 2 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 872076 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute renal infarction: a case series" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Bourgault" 1 => "P. Grimbert" 2 => "C. Verret" 3 => "J. Pourrat" 4 => "M. Herody" 5 => "J.M. Halimi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2215/CJN.05570612" "Revista" => array:6 [ "tituloSerie" => "Clin J Am Soc Nephrol" "fecha" => "2013" "volumen" => "8" "paginaInicial" => "392" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23204242" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0378512213003794" "estado" => "S300" "issn" => "03785122" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0050" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A suspected case of paradoxical renal embolism through the patent foramen ovale" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Iwasaki" 1 => "N. Joki" 2 => "Tanaka Yuri" 3 => "H. Hara" 4 => "M. Suzuki" 5 => "H. Hase" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s10157-010-0354-4" "Revista" => array:6 [ "tituloSerie" => "Clin Exp Nephrol" "fecha" => "2011" "volumen" => "15" "paginaInicial" => "147" "paginaFinal" => "150" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20960022" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0055" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Renal paradoxical embolism in a hypertensive young adult without acute ischemic symptoms" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Nara" 1 => "A. Komatsuda" 2 => "M. Fujishima" 3 => "N. Fujishima" 4 => "M. Nara" 5 => "T. Lino" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Exp Nephrol" "fecha" => "2011" "volumen" => "1584" "paginaInicial" => "582" "paginaFinal" => "585" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0060" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Embolic renal infarct, patent foramen ovale and coronary artery dissection: a strange case of cardio-renal connection" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Ronco" 1 => "G. Rigatelli" 2 => "F. Dell' Avvocata" 3 => "M. Giordan" 4 => "C. Ronco" 5 => "P. Cardaioli" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.carrev.2011.04.005" "Revista" => array:5 [ "tituloSerie" => "Cardiovasc Revasc Med" "fecha" => "2011" "volumen" => "12" "paginaInicial" => "67.e5-7" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21741324" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0065" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ischemic colitis as a first sign of primary antiphospholipid antibody syndrome. A case report" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "O. Jebeniani" 1 => "S. Bouomrani" 2 => "S. Hammami" 3 => "C. Ben Taher" 4 => "A. Moussa" 5 => "S. Mahjoub" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Tunis Med" "fecha" => "2009" "volumen" => "87" "paginaInicial" => "884" "paginaFinal" => "886" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20209860" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0070" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Catastrophic antiphospholipid syndrome masquerading as ischaemic colitis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.S. Jürgensen" 1 => "R. Kettritz" 2 => "W. Scheider" 3 => "H. Koop" 4 => "T.S. Hildebrand" 5 => "U. Frei" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00296-003-0296-1" "Revista" => array:6 [ "tituloSerie" => "Rheumatol Int" "fecha" => "2003" "volumen" => "23" "paginaInicial" => "204" "paginaFinal" => "206" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12679877" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0075" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Miyakis" 1 => "M.D. Lockshin" 2 => "T. Atsumi" 3 => "D.W. Branch" 4 => "R.L. Brey" 5 => "R. Cervera" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1538-7836.2006.01753.x" "Revista" => array:6 [ "tituloSerie" => "J Thromb Haemost" "fecha" => "2006" "volumen" => "4" "paginaInicial" => "295" "paginaFinal" => "306" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16420554" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0080" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence-based management of anticoagulant therapy: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Holbrook" 1 => "S. Schulman" 2 => "D.M. Witt" 3 => "P.O. Vandvik" 4 => "J. Fish" 5 => "M.J. Kovacs" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.11-2295" "Revista" => array:5 [ "tituloSerie" => "Chest" "fecha" => "2012" "volumen" => "141" "paginaInicial" => "E152s" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22315259" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack334106" "titulo" => "Acknowledgements" "texto" => "<p id="par0040" class="elsevierStylePara elsevierViewall">To the Cardiology and Nephrology Services of the HGUCR.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000003800000001/v1_201802180616/S2013251417301797/v1_201802180616/en/main.assets" "Apartado" => array:4 [ "identificador" => "35436" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003800000001/v1_201802180616/S2013251417301797/v1_201802180616/en/main.pdf?idApp=UINPBA000064&text.app=https://www.revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417301797?idApp=UINPBA000064" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 October | 42 | 28 | 70 |
| 2024 September | 56 | 26 | 82 |
| 2024 August | 58 | 64 | 122 |
| 2024 July | 47 | 30 | 77 |
| 2024 June | 70 | 26 | 96 |
| 2024 May | 58 | 30 | 88 |
| 2024 April | 78 | 51 | 129 |
| 2024 March | 72 | 18 | 90 |
| 2024 February | 55 | 34 | 89 |
| 2024 January | 35 | 35 | 70 |
| 2023 December | 36 | 21 | 57 |
| 2023 November | 50 | 29 | 79 |
| 2023 October | 120 | 37 | 157 |
| 2023 September | 282 | 26 | 308 |
| 2023 August | 182 | 24 | 206 |
| 2023 July | 66 | 32 | 98 |
| 2023 June | 78 | 18 | 96 |
| 2023 May | 71 | 28 | 99 |
| 2023 April | 34 | 16 | 50 |
| 2023 March | 56 | 16 | 72 |
| 2023 February | 41 | 23 | 64 |
| 2023 January | 37 | 27 | 64 |
| 2022 December | 41 | 30 | 71 |
| 2022 November | 41 | 31 | 72 |
| 2022 October | 57 | 54 | 111 |
| 2022 September | 44 | 25 | 69 |
| 2022 August | 54 | 42 | 96 |
| 2022 July | 32 | 47 | 79 |
| 2022 June | 36 | 34 | 70 |
| 2022 May | 57 | 27 | 84 |
| 2022 April | 59 | 57 | 116 |
| 2022 March | 60 | 50 | 110 |
| 2022 February | 58 | 42 | 100 |
| 2022 January | 57 | 43 | 100 |
| 2021 December | 70 | 39 | 109 |
| 2021 November | 43 | 41 | 84 |
| 2021 October | 32 | 47 | 79 |
| 2021 September | 31 | 43 | 74 |
| 2021 August | 64 | 44 | 108 |
| 2021 July | 36 | 36 | 72 |
| 2021 June | 35 | 23 | 58 |
| 2021 May | 29 | 39 | 68 |
| 2021 April | 56 | 44 | 100 |
| 2021 March | 43 | 33 | 76 |
| 2021 February | 60 | 32 | 92 |
| 2021 January | 47 | 26 | 73 |
| 2020 December | 28 | 18 | 46 |
| 2020 November | 21 | 14 | 35 |
| 2020 October | 35 | 18 | 53 |
| 2020 September | 28 | 22 | 50 |
| 2020 August | 48 | 22 | 70 |
| 2020 July | 44 | 11 | 55 |
| 2020 June | 34 | 16 | 50 |
| 2020 May | 32 | 16 | 48 |
| 2020 April | 42 | 18 | 60 |
| 2020 March | 22 | 14 | 36 |
| 2020 February | 37 | 13 | 50 |
| 2020 January | 59 | 25 | 84 |
| 2019 December | 33 | 28 | 61 |
| 2019 November | 42 | 14 | 56 |
| 2019 October | 28 | 20 | 48 |
| 2019 September | 29 | 16 | 45 |
| 2019 August | 30 | 12 | 42 |
| 2019 July | 38 | 23 | 61 |
| 2019 June | 41 | 19 | 60 |
| 2019 May | 29 | 15 | 44 |
| 2019 April | 89 | 25 | 114 |
| 2019 March | 40 | 25 | 65 |
| 2019 February | 39 | 16 | 55 |
| 2019 January | 42 | 19 | 61 |
| 2018 December | 165 | 39 | 204 |
| 2018 November | 295 | 22 | 317 |
| 2018 October | 281 | 20 | 301 |
| 2018 September | 113 | 18 | 131 |
| 2018 August | 126 | 15 | 141 |
| 2018 July | 130 | 15 | 145 |
| 2018 June | 121 | 13 | 134 |
| 2018 May | 93 | 14 | 107 |
| 2018 April | 95 | 11 | 106 |
| 2018 March | 94 | 12 | 106 |
| 2018 February | 71 | 4 | 75 |
| 2018 January | 39 | 8 | 47 |
| 2017 December | 50 | 7 | 57 |
| 2017 November | 22 | 1 | 23 |
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