A huge intracardiac thrombus developed in the presence of antithrombin III deficiency in a patient with end-stage renal failure
In this study, we report a 15-year-old female with end-stage renal disease undergoing hemodialysis, who admitted with acute respiratory failure and generalized edema. Abdominal tomography detected thrombi in the right renal vein, in the hepatic segment of the inferior vena cava and in iliac veins. L...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2013-10-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-88288 |
| _version_ | 1797909227277123584 |
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| author | Fatih Köksal Binnetoğlu Kadir Babaoğlu Nazan Sarper Kenan Bek |
| author_facet | Fatih Köksal Binnetoğlu Kadir Babaoğlu Nazan Sarper Kenan Bek |
| author_sort | Fatih Köksal Binnetoğlu |
| collection | DOAJ |
| description | In this study, we report a 15-year-old female with end-stage renal disease undergoing hemodialysis, who admitted with acute respiratory failure and generalized edema. Abdominal tomography detected thrombi in the right renal vein, in the hepatic segment of the inferior vena cava and in iliac veins. Levels of proteins C and S, antinuclear antigen, anti-dsDNA, C3, and C4 were in normal limits. The thrombi persisted despite treatment with nadroparin, heparin with fresh frozen plasma and warfarin. Due to heparin resistance, antithrombin III levels were measured and were found abnormally low. The first echocardiographic examination was in normal limits but the second echocardiography revealed a huge thrombus occluding the tricuspid valve. Urgent thrombectomy was planned but the patient died in the intensive care unit due to severe pulmonary edema. |
| first_indexed | 2024-04-10T11:05:05Z |
| format | Article |
| id | doaj.art-ff4d689c5d9d4553b457ff4951776934 |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T11:05:05Z |
| publishDate | 2013-10-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-ff4d689c5d9d4553b457ff49517769342023-02-15T16:19:28ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692013-10-0141764264510.5543/tkda.2013.88288TKDA-88288A huge intracardiac thrombus developed in the presence of antithrombin III deficiency in a patient with end-stage renal failureFatih Köksal Binnetoğlu0Kadir Babaoğlu1Nazan Sarper2Kenan Bek3Department of Pediatric Cardiology, Kocaeli University Faculty of Medicine, IzmitDepartment of Pediatric Cardiology, Kocaeli University Faculty of Medicine, IzmitDepartment of Pediatric Hematology, Kocaeli University Faculty of Medicine, IzmitDepartment of Pediatric Nephrology, Kocaeli University Faculty of Medicine, IzmitIn this study, we report a 15-year-old female with end-stage renal disease undergoing hemodialysis, who admitted with acute respiratory failure and generalized edema. Abdominal tomography detected thrombi in the right renal vein, in the hepatic segment of the inferior vena cava and in iliac veins. Levels of proteins C and S, antinuclear antigen, anti-dsDNA, C3, and C4 were in normal limits. The thrombi persisted despite treatment with nadroparin, heparin with fresh frozen plasma and warfarin. Due to heparin resistance, antithrombin III levels were measured and were found abnormally low. The first echocardiographic examination was in normal limits but the second echocardiography revealed a huge thrombus occluding the tricuspid valve. Urgent thrombectomy was planned but the patient died in the intensive care unit due to severe pulmonary edema.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-88288antithrombin iiicardiovascular diseases/etiologykidney failurechronic/physiopathology/complications; renal dialysis; thrombosis. |
| spellingShingle | Fatih Köksal Binnetoğlu Kadir Babaoğlu Nazan Sarper Kenan Bek A huge intracardiac thrombus developed in the presence of antithrombin III deficiency in a patient with end-stage renal failure Türk Kardiyoloji Derneği Arşivi antithrombin iii cardiovascular diseases/etiology kidney failure chronic/physiopathology/complications; renal dialysis; thrombosis. |
| title | A huge intracardiac thrombus developed in the presence of antithrombin III deficiency in a patient with end-stage renal failure |
| title_full | A huge intracardiac thrombus developed in the presence of antithrombin III deficiency in a patient with end-stage renal failure |
| title_fullStr | A huge intracardiac thrombus developed in the presence of antithrombin III deficiency in a patient with end-stage renal failure |
| title_full_unstemmed | A huge intracardiac thrombus developed in the presence of antithrombin III deficiency in a patient with end-stage renal failure |
| title_short | A huge intracardiac thrombus developed in the presence of antithrombin III deficiency in a patient with end-stage renal failure |
| title_sort | huge intracardiac thrombus developed in the presence of antithrombin iii deficiency in a patient with end stage renal failure |
| topic | antithrombin iii cardiovascular diseases/etiology kidney failure chronic/physiopathology/complications; renal dialysis; thrombosis. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-88288 |
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