Successful treatment of right atrial thrombus in a patient with Beh,cet's disease.

Islim, I. F.; Gill, Matthew; Situnayake, Deva; Watson, R. Douglas

doi:10.1136/ard.53.8.550-b

Cited by 13 publications

(7 citation statements)

References 7 publications

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“…Transesophageal and transthoracic echocardiography are generally sufficient to enable a diagnosis of cardiac thrombosis. The mass is usually heterogeneous and echogenic, involving the ventricles rather than the atria [19] and the right heart more often than the left [7]. In our case report, the thrombus was found in the left ventricle.…”

Section: Discussionmentioning

confidence: 73%

“…The appearance of such thrombi often precedes other manifestations of Behcet syndrome, and it is rarely inaugural [18]. Intracardiac thrombus is associated with deep vein thrombosis and with thrombosis of the vena cava, respectively, in 50% and 22% of cases [7,18,19]. Thrombus can also be associated with an aneurysm of the pulmonary artery, or with endomyocardial fibrosis [20].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Left intracardiac thrombosis: An exceptional complication revealing BehCet’s disease

Euch¹,

Fatma²,

Rezgui³

et al. 2013

OJIM

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Left intracardiac thrombosis: An exceptional complication revealing BehCet’s disease

Euch¹,

Fatma²,

Rezgui³

et al. 2013

OJIM

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“…In very rare cases intracardiac thrombus formation which favours the right side of the heart is noted 4 5. Such cases are associated with a higher occurrence of lower-extremity deep vein thrombosis and thrombosis of inferior vena cava 6 7…”

Section: Discussionmentioning

confidence: 99%

“…Medical management is preferred as a first-line intervention4 6 7 8 with surgical resection reserved in cases of failed medical therapy, recurrent or large cardiac thrombus and where there is diagnostic uncertainty 9…”

Section: Discussionmentioning

confidence: 99%

Rare manifestation of Behcet's syndrome: insight from multimodality cardiovascular imaging

et al. 2012

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SummaryA young Jordanian man was hospitalised with fever of 2 months duration. Preadmission diagnostic assessment including CT thorax and abdomen were inconclusive. Right-sided pleuritic chest pain was present on admission. Pulmonary embolism was suspected on a ventilation/perfusion lung scan. Lower-extremity deep venous thrombosis was, however, absent. Echocardiogram to exclude a cardiac source of pulmonary embolism showed a right ventricle mass which was also present on retrospective review of prehospitalisation CT thorax. Tissue characterisation of this mass on cardiac MRI was not helpful. Empiric anticoagulation was started without reduction in size at 3 weeks. Due to ongoing diagnostic uncertainty, surgical resection was performed. Histopathology confirmed this mass to be a thrombus. With unabated fever, right ventricular thrombosis with pulmonary embolism and cutaneous and scrotal ulceration which evolved later in the hospital course, a diagnosis of Bechet's syndrome was considered and subsequently confirmed. Response to immunosuppressive therapy was prompt. BACKGROUND

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“…To our knowledge, there are 16 case reports in the literature describing intracardiac thrombus. [10][11][12][13][14][15][16][17][18][19][20][21][22][23] Treatment with heparin or warfarin in addition to corticosteroids and immunosuppressive drugs (azathioprine or oral cyclophosphomide) is associated with disappearance of intracardiac thrombus in most patients. One patient received successful thrombolytic therapy, 1 7 while two patients underwent surgery.…”

Section: Discussionmentioning

confidence: 99%

A Recurrent Right Heart Thrombus in a Patient with Behçet's Disease

et al. 2001

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We report the case of a patient who was admitted to the immunology unit of our medical facility. The patient had a history of recurrent oral ulcers, low-grade fever, weight loss, and fatigue. Echocardiographic examination revealed a right ventricular mass that was initially thought to be a myxoma in an unusual location, and the patient was sent to surgery. Surgery revealed the mass to be a thrombus. After 5 months of anticoagulation therapy, the patient was readmitted to our institution with the same complaints, and a right atrial thrombus was found on echocardiographic examination. After a careful reevaluation of the patient's history and episodes of recurrent oral and genital ulcers, as well as the papulopustular lesions found on his first admission to hospital, Behçet's disease was diagnosed. The patient received thrombolytic therapy with a regression of thrombus, and continued with immunosuppressive and anticoagulation therapy. Five months later, echocardiographic examination showed complete disappearance of thrombus.

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Successful treatment of right atrial thrombus in a patient with Beh,cet's disease.

Cited by 13 publications

References 7 publications

Left intracardiac thrombosis: An exceptional complication revealing BehCet’s disease

Left intracardiac thrombosis: An exceptional complication revealing BehCet’s disease

Rare manifestation of Behcet's syndrome: insight from multimodality cardiovascular imaging

A Recurrent Right Heart Thrombus in a Patient with Behçet's Disease

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