Postoperative Intracardiac Thrombus in a Child with Nephrotic Syndrome

Int Med Case Rep J. 2022 Mar 10:15:91-96. doi: 10.2147/IMCRJ.S349740. eCollection 2022.

Abstract

Background: Thromboembolic events are a known complication of nephrotic syndrome in children. Intracardiac thrombi are a rare location for thrombus formation but can lead to severe clinical consequences.

Case presentation: We report an intracardiac left atrial thrombus in a child with new onset steroid-resistant nephrotic syndrome and recently repaired atrial septal defect and cor triatriatum. The thrombus was successfully treated with surgical excision.

Conclusion: Intracardiac thrombus is a rare but serious complication of nephrotic syndrome in children, especially in children with risk factors for potentially increased intracardiac thrombogenicity such as history of recent intervention.

Keywords: cardiac surgery; congenital heart disease; intracardiac thrombus; nephrotic; pediatric.

Publication types

  • Case Reports