A Case of Bilateral Renal Infarct Due to Left Ventricular Thrombus

TL;DR

A 30-year-old man with a heart attack developed bilateral kidney damage due to a blood clot in his heart, which was successfully treated with clot-dissolving drugs.

Contribution

This case highlights the rare occurrence of bilateral renal infarction caused by a left ventricular thrombus.

Findings

Bilateral renal infarcts can result from left ventricular thrombi following myocardial infarction.

Early diagnosis and treatment with anti-thrombolytics led to a positive patient outcome.

Renal infarction is a rare but serious complication of left ventricular thrombus.

Abstract

Renal infarction is an uncommon illness that can have serious side effects. Patients may be predisposed to the disease by factors including smoking, atrial fibrillation, thrombus, infective endocarditis, myocardial infarction, and prosthetic valves. Patients are most susceptible from 24 hours to 15 days after myocardial infarction, with an increased rate of left ventricular (LV) thrombus development, which raises the probability of thromboembolic events in the cerebrovascular system and might exacerbate morbidity and mortality rate. This can be diagnosed by two-dimensional echocardiography. Different risk factors can contribute to the development of an LV thrombus. Renal infarcts from LV clots are less common but can occur bilaterally in certain situations. A 30-year-old male diagnosed with anterior wall myocardial infarction presented at our hospital and was suspected to have bilateral renal infarcts, possibly due to the LV thrombi. The patient was managed on anti-thrombolytics and was reported to be doing well at a follow-up of one month.

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