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KMID : 0361120070210020298
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Korean Journal of Transplantation
2007 Volume.21 No. 2 p.298 ~ p.301
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A Case of Renal Infarction with Arterial Thromboembolism.
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Lee Young-Chul
Lee Kang-Nyeong
Ahn Sang-Bong
Kim Jee-Hyun
Park Joon-Sung
Choi Nak-Won
Lee Chang-Hwa
Kim Gheun-Ho
Kang Chong-Myung
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Abstract
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Renal infarction in transplant kidney is an very uncommon post-transplant complication, and usually occurs in the early postoperative period. Thromboemboli to the renal arteries usually originate from the heart, e.g. atrial fibrillation. This paper reports a 64-year-old man who had total occlusion of transplanted renal artery after 9 years from transplantation. His medicines included cyclosporine, prednisolone, aspirin, clopidogrel, and propranlol. Our patient presented with fever, oliguria, and left costovertebral angle tenderness, three days ago. Abdominal computed tomography (CT) revealed total occlusion of transplanted renal artery and right common iliac artery. Preservation of renal function is inversely proportional to the period of renal ischemia. Our patient was treated with heparinization. Remnant renal function was lost, he has been treated with hemodialysis.
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KEYWORD
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Renal infarction, Atrial fibrillation, Renal transplantation
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