J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2295KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 89(6): 952-956, 1988

Original article

TREATMENT FOR RENAL VEIN THROMBOSIS ASSOCIATED WITH NEPHROTIC SYNDROME

*) Department of Surgery, School of Medicine, Showa University, Tokyo, Japan
**) Department of Cardiovascular and Thoracic Surgery, Fujigaoka Hospital,Showa University, Yokohama, Japan

Makoto Funami*), Toshihiro Takaba*), Hiroyuki Tanaka*), Atsubumi Murakami*), Mitsutaka Kadokura*), Gouichi Hori**), Junichi Ishii*)

Renal vein thrombosis is a rare entity in which true incidence is unknown. The disease occurs most frequently in patiepts with nephrotic syndrome, but it also can occur in the presence of other hypercoagulable state.
Two cases of renal vein thrombosis with nephrotic syndrome which were treated by thrombectomy are reported here. One patient was successfully treated by renal vein and inferior vena cava thrombectomy before developing severe pulmonry embolism. The other was treated by renal vein thrombectomy by which fatal shock was able to be prevented.
In those cases, immediate operation was indicated, primarily to prevent additional, possibly fatal, pulmonary embolism and also to improve perfusion of the kidney. In the hope of salvaging the kidney, thrombectomy may be the treatment of choice for acute renal vein thrombosis, complication of pulmonary embolism and inferior vena cava thrombosis, right renal vein thrombosis without collateral flow and acute renal vein thrombosis with shock.

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