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The Nephrotic Syndrome: An Unusual Case of Multiple Embolic Events

Emory University School of Medicine, Department of Surgery, Grady Memorial Hospital, Atlanta, Georgia

Amy D. Wyrzykowski, MD

Emory University School of Medicine, Department of Surgery, Grady Memorial Hospital, Atlanta, Georgia, amy.wyrzykowski{at}emory.edu

Christopher J. Dente, MD

Emory University School of Medicine, Department of Surgery, Grady Memorial Hospital, Atlanta, Georgia

Jeffrey M. Nicholas, MD

Emory University School of Medicine, Department of Surgery, Grady Memorial Hospital, Atlanta, Georgia

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.

Key Words: nephrotic syndrome • hypercoaguable • thromboembolism

This version was published on April 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 2, 207-210 (2009)
DOI: 10.1177/1538574408324511


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