Lempp Severin, Schwenger Vedat
Clinic for Kidney, Hypertension and Autoimmune Diseases, Transplant Center Stuttgart, Klinikum Stuttgart, Kriegsbergstraße 60, 70174, Stuttgart, Germany.
J Med Case Rep. 2017 Nov 4;11(1):311. doi: 10.1186/s13256-017-1491-0.
Venous thrombosis in nephrotic syndrome is a well-described phenomenon. We report a case of an adult patient with an isolated thrombus in the right ventricle due to nephrotic syndrome, which was initially suspected to be a myxoma.
A 28-year-old white woman presented to our emergency department with signs of fluid overload. On further evaluation, a right ventricular mass was detected, which was resected and was found to be a thrombus. No other manifestations of venous thrombosis were found. Further evaluation of the patient revealed a nephrotic syndrome, which caused augmented coagulopathy.
We present a case of a patient in whom a right ventricular mass was the first sign of a renally derived coagulopathy. To the best of our knowledge, this is the first report of an isolated thrombus in the right ventricle due to nephrotic syndrome in an adult. In cases of isolated cardiac thrombi in adults, a further search for renal disease might be helpful to reveal the underlying cause.
肾病综合征中的静脉血栓形成是一种已被充分描述的现象。我们报告一例成年肾病综合征患者，其右心室出现孤立性血栓，最初被怀疑为黏液瘤。
一名28岁白人女性因液体超负荷症状就诊于我院急诊科。进一步评估发现右心室有一肿块，切除后发现是血栓。未发现静脉血栓形成的其他表现。对该患者的进一步评估显示为肾病综合征，该综合征导致了凝血功能亢进。
我们报告了一例患者，其右心室肿块是肾源性凝血功能障碍的首发症状。据我们所知，这是首例关于成年肾病综合征患者右心室孤立性血栓的报道。对于成人孤立性心脏血栓病例，进一步排查肾脏疾病可能有助于揭示潜在病因。
