Acute inferior myocardial infarction with nephrotic syndrome

Although thrombotic complications in the venous system are common in patients with nephrotic syndrome, arterial thromboses associated with nephrotic syndrome are much less common. However, coronary thromboses are extremely rarely observed. Whereas venous thromboses predominate in adults, thromboembolic complications of the arterial system are mainly seen in children. We presented a case of acute inferior myocardial infarction secondary to a thrombotic occlusion of the right proximal coronary artery in a 21-year-old man with nephrotic syndrome due to renal amyloidosis. It is interesting that the duration between nephrotic syndrome findings and onset of myocardial infarction was found only 7 days in this case.