Biventricular thrombi in diabetic nephrotic syndrome complicated by cerebral embolism.
We present a case of diabetic nephrotic syndrome complicated with cerebral embolism in whom two intracardiac thrombi were found in both right and left ventricles without obvious abnormality echocardiographically. Both thrombi regressed after anticoagulant therapy. This represents an intracardiac thrombotic complication of nephrotic syndrome, presumably with hypercoagulable state as the sole mechanism of intracardiac thrombus formation.
Huang
T Y
TY
Department of Medicine, Chi Mei Foundation Hospital, Tainan, Taiwan, R.O.C.
Chau
K M
KM
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D003928:Diabetic Nephropathies / Q000150:complications*; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging*; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000188:drug therapy / Q000209:etiology*; D009404:Nephrotic Syndrome / Q000150:complications*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D014463:Ultrasonography; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin