International Medical Case Reports Journal (Mar 2022)
Postoperative Intracardiac Thrombus in a Child with Nephrotic Syndrome
Abstract
Khadijah Maghrabi,1 Ruba Aldhaheri,2 Nora Aljunaid,2 Amal Saeed Alzahrani,2 Hanan Mohammad Alsayyad,2 Nada Kalakattawi,2 Osama Safdar2 1Abdullah Bakhsh Children’s Heart Center, Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia; 2Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaCorrespondence: Khadijah Maghrabi, Abdullah Bakhsh Children’s Heart Center, Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, PO Box 80215, Jeddah, 21589, Saudi Arabia, Tel +996 2 6401000 Ext. 20208, Email [email protected]: 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: nephrotic, pediatric, congenital heart disease, cardiac surgery, intracardiac thrombus
