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A large intracardiac thrombus in a child with steroid-resistant nephrotic syndrome

Published online by Cambridge University Press:  20 July 2012

Filiz Ekici*
Affiliation:
Department of Pediatric Cardiology, Ankara Dıskapı Children's Hematology and Oncology Research and Training Hospital, Dıskapı, Ankara, Turkey
Nilgün Çakar
Affiliation:
Department of Pediatric Nephrology, Ankara Dıskapı Children's Hematology and Oncology Research and Training Hospital, Dıskapı, Ankara, Turkey
*
Correspondence to: Dr Filiz Ekici, MD, Department of Pediatric Cardiology, Ankara Dıskapı Children's Hematology and Oncology Research and Training Hospital, Dıskapı, Ankara 06540, Turkey. Tel: +90 312 596 96 56; Fax: +90 312 3472330; E-mail: [email protected]

Abstract

Intracardiac thrombus is a rare complication of nephrotic syndrome in children, and only a few cases have been reported. We report the case of a 3.5-year-old child diagnosed with Henoch–Schönlein Purpura and steroid-resistant nephrotic syndrome for 2 months. The patient had massive oedema but no cardiovascular instability. Echocardiography displayed a large thrombus within the right atrium and the patient was successfully managed with enoxoparine.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2012 

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