A Case of Vasculo-Behçet's Disease Complicated by an Intracardiac Thrombus
10.4326/jjcvs.40.115
- VernacularTitle:心内血栓症を合併した血管ベーチェット病の1例
- Author:
Takashi Igarashi
;
Hirono Satokawa
;
Shinya Takase
;
Yoshiyuki Sato
;
Tsuyoshi Yamabe
;
Hitoshi Yokoyama
- Publication Type:Journal Article
- Keywords:
Behç
et's disease;
intracardiac thrombus;
pulmonary embolism;
mucinous cystadenoma
- From:Japanese Journal of Cardiovascular Surgery
2011;40(3):115-119
- CountryJapan
- Language:Japanese
-
Abstract:
We report a rare case of vasculo-Behçet's disease complicated by an intracardiac thrombus. A 48-year-old woman with a history of Behçet's disease and deep vein thrombosis in a lower limb, and who had been treated with colchicine and warfarin, was given a diagnosis of an appendectal tumor by colonoscopy. Preoperative examinations, including chest computed tomography, showed a pedunculated mobile tumor from her inferior vena cava (IVC) to the right atrium (RA). Urgent surgery was performed to prevent pulmonary embolism. We exposed the RA through a median sternotomy under cardiopulmonary bypass and extirpated the tumor that appeared macroscopically to be an organized thrombus attached to the IVC wall. The pathological diagnosis was organized thrombus. A month later, she underwent ileocecal resection and was given a pathological diagnosis of mucinous cystadenoma. Her postoperative course was uneventful. Intracardiac thrombus complicated by vasculo-Behçet's disease is rare, and it is important in the differential diagnosis of intracardiac tumor.
