ATRİYAL FİBRİLASYONLU BİR HASTADA UNİLATERAL TOTAL RENAL ARTER EMBOLİSİ

Öz

Tromboembolik renal arter tıkanıklığı nadiren tanısı konulabilen ciddi bir klinik tablodur. Tanı çoğunlukla geri dönüşümsüz renal lezyonlar (renal infarkt) görüldükten sonra konur. Major renal arter embolileri atriyal fibrilasyon başta olmak üzere kalp hastalıkları ve aritmilerle ilişkilidir. Yazımızda atriyal fibrilasyonu olan ve sol böğür ağrısı yakınması ile acil kliniğe başvurmuş bir renal arter embolisi olgusu sunmaktayız.

Anahtar Kelimeler

• Atriyal fibrilasyon, renal arter, tromboemboli

Kaynakça

1. Blum U, Bilmann P, Gabelmann A, Keller E, Moser E, Langer M. Effect of local low-dose thrombolysis on clinical outcome in acute embolic renal artery occlusion. Radiology 1993; 189:549-54.
2. Cheng KL, Tseng SS, Tarng DC. Acute renal failure caused by unilateral renal artery thromboembolism. Nephrol Dial Transplant 2003; 18:833-835.
3. Eurvilaichit C, Tripanich W, Thongborisute E. Renal artery embolism: therapy with intra-arterial streptokinase infusion. J Med Assoc Thai 1999;82:978-983.
4. Glunck G, Croitoru M, Delenau D, Platon P. Local thrombolytic treatment for renal arterial embolism. Eur Urol 2000; 38:339-343
5. Hazanov N, Somin M, Attali M, Beilinson N, Thaler M, Mouallem M, Maor Y, Zaks N, Malnick S. Acute renal embolism. Forty-four cases of renal infarction in patients with atrial fibrillation. Medicine (Baltimore) 2004; 83:292-299
6. Inoue T, Iwamura H, Kanematsu A, Hiura M, Kakehi Y, Hashimura T. Renal artery embolism treated by selective intraarterial infusion of tissue plasminogen activator: report of 2 cases. Hinyokika Kiyo 1997; 43:655-659.
7. Lessman RK, Jhonson SF, Coburn JW, Kaufman JJ. Renal artery embolism, clinical features and long term follow-up of 17 cases. Ann Intern Med 1978; 89:477-482.
8. Lewin M, Nakhoul F, Keidar Z, Gren J. Acute oligourik renal failure associated with unilateral renal embolism: successful treatment with iloprost. Am J Nephrol 1998; 18:444-447.

9. Singh G, Dhawan R, Potteiger CE, Bedi A, Modesto TA, Gutknecht DR. Acute renal infarction secondary to ventricular thrombus, masquerading as a renal calculus – a case report and a brief review of literature. Angiology 2001;52:717-720.
10. Soussou ID, Star DS, Lawire GM, Morris GC. Renal artery aneurysm. Long term relief of renovascular hypertension by in situ operative correction. Arch Surg 1979; 114:1410-1415.