Asymptomatic intracardiac thrombus in steroid-sensitive nephrotic syndrome.
Arterial and venous thrombotic events can lead to severe complications in the nephrotic syndrome, but may remain clinically silent in a substantial proportion of patients. Intracardiac thrombi associated with multiorgan thrombosis have been described in autopsy cases of the earlier literature, but have never been documented in vivo. We here report an asymptomatic intracardiac thrombus in a child with frequently relapsing steroid-sensitive nephrotic syndrome and a ventricular septal defect.
Weisz
Wanja
W
Division of Pediatric Cardiology, University Hospital Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
Kemper
Markus J
MJ
Weil
Jochen
J
Müller-Wiefel
Dirk E
DE
D002675:Child, Preschool; D004351:Drug Resistance; D017548:Echocardiography, Transesophageal; D005260:Female; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006345:Heart Septal Defects, Ventricular / Q000150:complications; D006801:Humans; D009404:Nephrotic Syndrome / Q000150:complications* / Q000188:drug therapy*; D013256:Steroids / Q000627:therapeutic use*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*
D013256:Steroids