TY - JOUR
T1 - The nephrotic syndrome
T2 - An unusual case of multiple embolic events
AU - Schwartz, Jean Claude D.
AU - Wyrzykowski, Amy D.
AU - Dente, Christopher J.
AU - Nicholas, Jeffrey M.
PY - 2009/4
Y1 - 2009/4
N2 - The nephrotic syndrome is an unusual cause of the hypercoaguable state and thromboembolic complications. Here we report the case of a 42-year-old woman with nephrotic syndrome who presented with a pulseless lower extremity and a midpole renal infarct requiring urgent embolectomy of the leg. During her embolic evaluation, she was found to have an intracardiac thrombus. Over the course of her hospitalization, she developed a pulseless upper extremity and required an embolectomy of her arm. We believe that this represents the first case report of a patient with nephrotic syndrome, intracardiac thrombus, and evidence of embolization to 3 sites: kidney, arm, and leg.
AB - The nephrotic syndrome is an unusual cause of the hypercoaguable state and thromboembolic complications. Here we report the case of a 42-year-old woman with nephrotic syndrome who presented with a pulseless lower extremity and a midpole renal infarct requiring urgent embolectomy of the leg. During her embolic evaluation, she was found to have an intracardiac thrombus. Over the course of her hospitalization, she developed a pulseless upper extremity and required an embolectomy of her arm. We believe that this represents the first case report of a patient with nephrotic syndrome, intracardiac thrombus, and evidence of embolization to 3 sites: kidney, arm, and leg.
KW - Hypercoaguable
KW - Nephrotic syndrome
KW - Thromboembolism
UR - http://www.scopus.com/inward/record.url?scp=65349184453&partnerID=8YFLogxK
U2 - 10.1177/1538574408324511
DO - 10.1177/1538574408324511
M3 - Article
C2 - 18838397
AN - SCOPUS:65349184453
SN - 1538-5744
VL - 43
SP - 207
EP - 210
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 2
ER -