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Year : 2022  |  Volume : 32  |  Issue : 3  |  Page : 180-182

Paradoxical pulmonary embolism in a patient with bilateral renal infarction: The role of contrast-enhanced ultrasound imaging

1 Department of Cardiothoracic, University Hospital, Udine, Italy
2 Department of Cardiovascular, University Hospital, Trieste, Italy
3 Department of Radiology, University Hospital, Trieste, Italy

Correspondence Address:
Francesco Negri
Department of Cardiothoracic, University Hospital, Udine
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_25_22

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We present the case of a 52-year-old male who was admitted to the hospital for a bilateral pulmonary embolism. On the 5th 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.

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