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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  and
Nilgün Çakar
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]
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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.

Keywords

Thromboembolismchildrennephrotic syndrome
Type
Brief Reports
Information
Cardiology in the Young , Volume 23 , Issue 3 , June 2013 , pp. 440 - 442
Copyright
Copyright © Cambridge University Press 2012 

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References

1. Skalova, S, Lukes, A, Vanicek, H, et al. Intracardiac thrombus – a rare complication of the steroid resistant nephrotic syndrome. Bratisl Lek Listy 2008; 109: 573–575.Google ScholarPubMed
2. Ueno, K, Nagasako, H, Ueno, M, et al. Large intracardiac thrombus in a child with refractory nephrotic syndrome. Pediatr Int 2010; 52: 51–53.Google Scholar
3. Mortazavi, F, Samadi, M. Asymptomatic intracardiac thrombus in a child with nephrotic syndrome. Arch Iran Med 2006; 9: 426–428.Google Scholar
4. Weisz, W, Kemper, MJ, Weil, J, Muller-Wiefel, DE. Asymptomatic intracardiac thrombus in steroid-sensitive nephrotic syndrome. Pediatr Nephrol 2002; 17: 287–289.Google Scholar
5. Citak, A, Emre, S, Sirin, A, Bilge, I, Nayir, A. Hemostatic problems and thromboembolic complications in nephritic children. Pediatr Nephrol 2000; 14: 138–142.Google Scholar
6. Lilova, MI, Velkovski, IG, Topalov, IB. Thromboembolic complications in children with nephrotic syndrome in Bulgaria (1974–1996). Pediatr Nephrol 2000; 15: 74–78.Google Scholar
7. Hoyer, PF, Gonda, S, Barthels, M, Krohn, HP, Brodehl, J. Thromboembolic complications in children with nephrotic syndrome. Risk and incidence. Acta Paediatr Scand 1986; 75: 804–810.Google Scholar
8. Gurbanna, BA, Smer, AM, Abdulmajid, MR, et al. Nephrotic syndrome with ıntracardiac thrombosis: a case report. Ibnosina J Med Biomed Sci 2009; 1: 67–70.Google Scholar
9. Mak, SK, Wong, PN, Lee, KF, Fung, LH, Wong, AK. Intracardiac thrombus in an adult patient with nephrotic syndrome. Nephrol Dial Transplant 1996; 11: 1627–1630.Google Scholar
10. Niaudet, P. Steroid-resistant idiopathic nephrotic syndrome. In Barratt TM, Avner ED, Harmon WE (eds.). Pediatric Nephrology. Williams and Wilkins, Baltimore, 1999, pp. 751–756.Google Scholar