Document Detail

Splenic and renal infarctions complicating atrial fibrillation.
MedLine Citation:
PMID:  9293737     Owner:  NLM     Status:  MEDLINE    
Splenic and renal infarctions are common manifestations of cardiac thromboembolism. Usually they remain clinically silent and are not likely to be diagnosed antemortem. Two elderly female patients, in whom nonrheumatic chronic atrial fibrillation was noted, received low-dose aspirin. Both complained of the onset of acute abdominal pain and were found to have splenic and renal infarctions on abdominal computerized tomography. An enlarged left atrium was seen on echocardiogram in both cases. Treatment consisted of hydration, analgesics, and anticoagulation. In one case, liquefactive necrosis of the splenic infarct was observed on subsequent computer tomography studies. Both patients did well and remained free of new embolic events in the following 6 and 10 months, respectively. Clinicians should readily recognize the clinical manifestations of splenic and renal infarctions in patients with atrial fibrillation. Abdominal computerized tomography can confirm the diagnosis.
A Argiris
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Mount Sinai journal of medicine, New York     Volume:  64     ISSN:  0027-2507     ISO Abbreviation:  Mt. Sinai J. Med.     Publication Date:    1997 Sep-Oct
Date Detail:
Created Date:  1997-10-07     Completed Date:  1997-10-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0241032     Medline TA:  Mt Sinai J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  342-9     Citation Subset:  IM    
Department of Medicine, Beth Israel Medical Center, New York, USA.
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MeSH Terms
Aged, 80 and over
Atrial Fibrillation / complications*,  therapy
Infarction / diagnosis,  drug therapy,  etiology*
Kidney / blood supply*
Splenic Infarction / diagnosis,  drug therapy,  etiology*
Tomography, X-Ray Computed

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