Abstract
Abstract
Although thromboembolic events are well known complications of nephrotic syndrome, there are several unanswered questions relating to the nephrotic syndrome and thromboembolism such as the mechanism of thromboembolism and optimal diagnostic and therapeutic management strategies. We report on a case of a 26 year-old female with nephrotic syndrome, intracardiac thrombi, and evidence of embolization to brain and spleen. Diagnostic evaluation revealed a patent foramen oval with intracardiac thrombi. Despite adequate anticoagulation therapy, the left ventricular thrombus embolized into the spleen. However, with continued anticoagulation the patient had a satisfactory recovery and was released from the hospital with minimal neurologic deficit.