Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging.

Authors :: Negri F
Burelli M
Pagura L
Sachs C
Imazio M
Sinagra G
Source :: Journal of cardiovascular echography [J Cardiovasc Echogr] 2022 Jul-Sep; Vol. 32 (3), pp. 180-182. Date of Electronic Publication: 2022 Nov 16.
Publication Year :: 2022
Abstract: We present the case of a 52-year-old male who was admitted to the hospital for a bilateral pulmonary embolism. On the 5 <superscript>th</superscript> day of hospitalization, an acute kidney injury (AKI) occurred. A transesophageal echocardiogram was performed and it demonstrated a large patent foramen ovale with a consistent right-to-left shunt. Contrast-enhanced ultrasound (CEUS) was performed and it demonstrated multiple bilateral renal ischemic areas. CEUS represents a valid alternative to computed tomography or magnetic resonance to confirm the diagnosis of bilateral kidney infarction, especially in patients who experience an AKI.<br />Competing Interests: There are no conflicts of interest.<br /> (Copyright: © 2022 Journal of Cardiovascular Echography.)

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