摘要：We present a case of nephrotic syndrome associated with right atrial and supra hepatic vein part of inferior vena caval thrombosis. This patient presenting with dyspena, lower extremity edema and back pain after a vehicle accident and blunt trauma to abdomen. Trauma should be considered not only as a thrombophilic pre-disposition, but to be ascertaining as a predisposing factor to IVC endothelium injury and thrombosis formation. Echocardiography revealed supra hepatic vein IVC thrombosis floating to right atrium .C-T scan with contrast also showed pulmonary artery emboli to left upper lobe. With open heart surgery right atrial and IVC clot were extracted and main and left and right pulmonary artery was evaluated for possible clot lodging. The patient had a uneventful postoperative recovery and thrombosis was not occurred with periodical follow-up examination.
