Pulmonary Embolism due to Right Ventricular Thrombus in a Case of Behcet's Disease

Matsumura, Yasuo; Nagano, Satoshi; Yazaki, Yoshikazu; Koizumi, Tomonobu; Kitabayashi, Hiroshi; Imamura, Hiroshi; Amano, Jun; Isobe, Mitsuaki

doi:10.1253/jcj.63.909

Cited by 16 publications

(6 citation statements)

References 8 publications

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“…62 Among patients with venous thrombosis, vigilant follow-up is essential to avoid secondary pulmonary embolism. 48,53,55,61 PULMONARY PARENCHYMAL CHANGES Pulmonary hemorrhage, pulmonary infarction, and organizing pneumonia (OP) are included in this category. Broad parenchymal hemorrhage due to rupture of a PAA was found by autopsy in a child.…”

Section: Thrombosis Of Arteries and Veinsmentioning

confidence: 99%

“…49 Pulmonary infarction and fibrosis were detected in one patient who had thrombectomy of an intracardiac thrombus. 55 Organizing pneumonia associated with PAA exhibited perianeurysmal ground-grass opacities (GGO) on highresolution computed tomographic (HRCT) scans. 56 HRCT scans showed the nodular or masslike opacities with ill-defined margins and in broad contact with the pleural surface and major fissure.…”

Section: Thrombosis Of Arteries and Veinsmentioning

confidence: 99%

“…Intracardiac thrombosis is a rare complication of BD and is associated with a poor prognosis. 21,[42][43][44][45]47,48,50,55,58,61 It is often associated with PAA and hemoptysis and may be life threatening. All the cases summarized herein were in young to middle-aged males ( Table 4).…”

Section: Intracardiac Thrombosismentioning

confidence: 99%

“…Some authors suggest that the intracardiac thrombosis may be attributed to endocarditis. 55,61,67 Intracardiac thrombosis is difficult to distinguish from intracardiac tumor, vegetations, or arterial myxoma. 43,55,68 MISCELLANEOUS DIAGNOSES Endocarditis may cause intracardiac thrombosis and subsequent pulmonary embolism.…”

Section: Intracardiac Thrombosismentioning

confidence: 99%

“…55,61,67 Intracardiac thrombosis is difficult to distinguish from intracardiac tumor, vegetations, or arterial myxoma. 43,55,68 MISCELLANEOUS DIAGNOSES Endocarditis may cause intracardiac thrombosis and subsequent pulmonary embolism. 49,61 Histological examination may reveal nonspecific inflammation with fibrosis and necrotizing granulation tissue.…”

Section: Intracardiac Thrombosismentioning

confidence: 99%

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Behçet's Disease

Kurokawa¹,

Yoshikawa²,

Suzuki³

2004

Seminars in Respiratory and Critical Care Medicine

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Behçet's disease (BD) is a systemic disorder characterized by recurrent attacks of acute inflammation. Major symptoms are oral aphthous ulcers, uveitis, skin lesions, and genital ulcerations. Involvement of vessels, gastrointestinal (GI) tract, and central nervous system (CNS) is less frequent but is associated with a poor prognosis. Pulmonary complications of BD include aneurysms of the aorta, great vessels, or pulmonary arteries; arterial or venous thrombosis; pulmonary parenchymal changes; pleurisy, and intracardiac thrombosis. Hemoptysis caused by pulmonary artery aneurysms may lead to lethal hemorrhage. Recent advances in therapeutic strategies have improved the prognosis. In this review, the salient clinical and histopathological features of BD and treatment strategies are discussed.

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Section: Thrombosis Of Arteries and Veinsmentioning

confidence: 99%

Section: Thrombosis Of Arteries and Veinsmentioning

confidence: 99%

Section: Intracardiac Thrombosismentioning

confidence: 99%

Section: Intracardiac Thrombosismentioning

confidence: 99%

Section: Intracardiac Thrombosismentioning

confidence: 99%

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Behçet's Disease

Kurokawa¹,

Yoshikawa²,

Suzuki³

2004

Seminars in Respiratory and Critical Care Medicine

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Intracardiac thrombus in Behçet’s disease: four new cases and a comprehensive literature review

Aksu

Tüfekçioğlu

2014

Rheumatol Int

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Behçet's disease (BD) is a multisystem inflammatory disorder. Intracardiac thrombus formation (ICTF) is an uncommon but important complication of BD. To highlight recent insights into this disease, we aimed to review ICTF and other systemic involvements associated with ICTF in BD. We conducted a comprehensive review of the relevant literature in MEDLINE and EMBASE from 1966 to 2014 to analyze cumulated data about ICTF in BD. We aimed to evaluate 93 cases of BD with ICT (group 1), four of which have been recently identified and have not been discussed in the relevant literature yet, and to compare the frequency of pulmonary, venous and arterial involvements in group 1 and general Behçet population (group 2). The right heart was the most common site of ICTF in group 1. Pulmonary involvement, venous involvement (especially venous thrombosis) and arterial involvement were more frequent in group 1 than in group 2 (56 vs. 0.7 %, 42 vs. 10 % and 38 vs. 0.8 %, respectively, p < 0.0001). The diagnosis of BD should be considered if a patient presents with a mass in the right-sided cardiac chambers, even in the absence of the characteristic clinical manifestations of the illness. This approach is particularly applicable if the patient is a young man from the Mediterranean basin or the Middle East. All Behçet patients with ICTF must be investigated with thoracic computed tomography for pulmonary and arterial involvements and lower extremity venous Doppler ultrasonography for venous thrombosis, regardless of whether they are symptomatic for these systems.

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Intracardiac thrombus, superior vena cava syndrome, and pulmonary embolism in a patient with Behçet's disease: a case report and literature review

et al. 2007

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A 26-year-old woman with intermittent fever was admitted to our hospital, and gradually developed facial edema. Examinations including computed tomography, transesophageal echocardiography, digital subtraction angiography, and pulmonary perfusion scintigraphy revealed intracardiac thrombus, superior vena cava syndrome, and pulmonary embolism. Clinical findings and laboratory data led us to make a diagnosis of Behçet's disease. Combination of intracardiac thrombus, superior vena cava syndrome, and pulmonary embolism are rare complications in Behçet's disease. Behçet's disease should be considered in the differential diagnosis of intracardiac mass of the right heart, and early diagnosis and treatment are essential for the management of Behçet's disease especially with large-vessel manifestations. In addition to a case report, we review the literature and report the characteristics of intracardiac thrombus in Behçet's disease.

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Pulmonary Embolism due to Right Ventricular Thrombus in a Case of Behcet's Disease

Cited by 16 publications

References 8 publications

Behçet's Disease

Behçet's Disease

Intracardiac thrombus in Behçet’s disease: four new cases and a comprehensive literature review

Intracardiac thrombus, superior vena cava syndrome, and pulmonary embolism in a patient with Behçet's disease: a case report and literature review

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