Document Detail


The nephrotic syndrome: an unusual case of multiple embolic events.
MedLine Citation:
PMID:  18838397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jean-Claude D Schwartz; Amy D Wyrzykowski; Christopher J Dente; Jeffrey M Nicholas
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-10-06
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  43     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2009 Apr-May
Date Detail:
Created Date:  2009-04-22     Completed Date:  2009-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  207-10     Citation Subset:  IM    
Affiliation:
Emory University School of Medicine, Department of Surgery, Grady Memorial Hospital, Atlanta, Georgia 30303, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amyloidosis / complications*
Anticoagulants / therapeutic use
Arterial Occlusive Diseases / blood,  etiology*,  therapy
Blood Coagulation
Brachial Artery
Embolectomy
Embolism / blood,  etiology*,  therapy
Fatal Outcome
Female
Femoral Artery
Heart Diseases / blood,  etiology*,  therapy
Humans
Kidney / blood supply
Lower Extremity / blood supply
Nephrotic Syndrome / blood,  complications*,  etiology
Reoperation
Thrombosis / blood,  etiology*,  therapy
Treatment Outcome
Upper Extremity / blood supply
Chemical
Reg. No./Substance:
0/Anticoagulants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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