Successful Treatment of Massive Pulmonary and Venous Thromboembolism with Intravenous Heparin in a Patient with Mild Membranous Nephropathy.

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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.