Case report
English
Bahlul A Gurbanna, Aiman M Smer*, Mohamed R Abdulmajid, Monder M Alhasadi, Hajer K Almosbahi, Hawa A Derbi, Nawras M Abuhamidah, Imhmed A Sassi
Department of Cardiology, Tripoli Medical Center, Tripoli, Libya
IJMBS 2009;1(2):67-70
Abstract
Although thromboembolic events are well known complications of nephrotic syndrome, there are several unanswered questions relating to the nephrotic syndrome and thromboembolism such as the mechanism of thromboembolism and optimal diagnostic and therapeutic management strategies. We report on a case of a 26 year-old female with nephrotic syndrome who presented with ischemic stroke. Diagnostic investigations revealed a patent foramen oval with a large intraventricular thrombus. Despite anticoagulation, this intraventricular thrombus migrated to and embolized in the spleen. However, with continued anticoagulation the patient had a satisfactory recovery and was released from the hospital with minimal neurologic deficit.
Keywords: Intracardiac thrombi, Nephrotic syndrome, Thromboembolic Events.
Link/DOI: http://journals.sfu.ca/ijmbs/index.php/ijmbs/article/view/15/63