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Case ReportCASE REPORTS AND CLINICAL OBSERVATIONS

Severe Acute Kidney Injury With Significant Uremia in an Infant Found to Have Inferior Vena Cava, Bilateral Renal Vein, and Bilateral Renal Artery Thromboses

Hannah Lively-Endicott, Angelina M. Dixon and Joyce Varghese
Ochsner Journal December 2018, 18 (4) 417-422; DOI: https://doi.org/10.31486/toj.18.0051
Hannah Lively-Endicott
1The University of Queensland School of Medicine, Ochsner Clinical School, ,
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Angelina M. Dixon
2Departments of Internal Medicine and Pediatrics, Tulane University School of Medicine, ,
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Joyce Varghese
3Department of Pediatric Critical Care, Ochsner Clinic Foundation, ,
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  • For correspondence: joyce.varghese@ochsner.org
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    Figure 1. Patient’s timeline with renal function data.
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    Figure 2. Angiography of the (A) inferior vena cava (IVC) (downward arrow) and right renal vein (RV) (leftward arrow) prior to angioplasty. Note the stenosis of the right RV and thrombi visible along the IVC. Angiography of the (B) RV (leftward arrow) shows significant thrombotic occlusion (downward arrow).
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    Figure 3. Angiography of the inferior vena cava (IVC) (downward arrow) and right renal vein (RV) (leftward arrow) following angioplasty. Note the slightly improved flow through the right RV (rightward arrow in view A, downward arrow in view B).
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    Figure 4. Angiography of the left renal vein (RV) (rightward arrow) shows collateral circulation to the portal system (downward arrows).
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    Figure 5. Angiography of the innominate vein (IV) (downward arrow) shows possible stenosis of the left subclavian vein (upward arrow) and collateral circulation to the internal jugular vein (rightward arrow).
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    Figure 6. Arteriogram of the abdominal aorta shows that bilateral renal arteries are not patent.
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    Figure 7. Arteriogram of the (A) right renal artery (RA) (leftward arrow) and the (B) left RA (rightward arrow) following tissue plasminogen activator administration. Note minimal flow through the right RA.
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Ochsner Journal: 18 (4)
Ochsner Journal
Vol. 18, Issue 4
Dec 2018
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Severe Acute Kidney Injury With Significant Uremia in an Infant Found to Have Inferior Vena Cava, Bilateral Renal Vein, and Bilateral Renal Artery Thromboses
Hannah Lively-Endicott, Angelina M. Dixon, Joyce Varghese
Ochsner Journal Dec 2018, 18 (4) 417-422; DOI: 10.31486/toj.18.0051

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Severe Acute Kidney Injury With Significant Uremia in an Infant Found to Have Inferior Vena Cava, Bilateral Renal Vein, and Bilateral Renal Artery Thromboses
Hannah Lively-Endicott, Angelina M. Dixon, Joyce Varghese
Ochsner Journal Dec 2018, 18 (4) 417-422; DOI: 10.31486/toj.18.0051
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Keywords

  • Acute kidney injury
  • anuria
  • intensive care–neonatal
  • intensive care–pediatric
  • thrombosis–venous
  • uremia

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