Open AccessSuccessful Treatment of Massive Pulmonary and Venous Thromboembolism with Intravenous Heparin in a Patient with Mild Membranous Nephropathy.
Author(s) -
Kunwer Naveed Mukhtar,
Shaheen Bibi,
Sumbal Nasir Mahmood,
Osama Kunwer Naveed
Publication year - 2021
Publication title -
pakistan journal of kidney diseases
Language(s) - English
Resource type - Journals
eISSN - 2708-3020
pISSN - 2617-0329
DOI - 10.53778/pjkd4432
Subject(s) - medicine , pulmonary embolism , heparin , thrombus , thrombolysis , membranous nephropathy , venous thromboembolism , inferior vena cava , cardiology , surgery , thrombosis , kidney , proteinuria , myocardial infarction
Membranous nephropathy is well described to be associated with hypercoagulable state. Pulmonary embolism is a common occurrence with hypercoagulability and early recognition and prompt treatment including thrombolysis is warranted. We present here a case of massive thrombus in the pulmonary trunk and inferior vena cava in a patient with membranous nephropathy where anticoagulation with heparin was continued with successful resolution over time. We discuss the pros and cons of anticoagulation amangement in such patients and review the literature.