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A Case of Vasculo-Behçetfs Disease Complicated by an Intracardiac Thrombus
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iDepartment of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japanj
| Takashi Igarashi |
Hirono Satokawa |
Shinya Takase |
| Yoshiyuki Sato |
Tsuyoshi Yamabe |
Hitoshi Yokoyama |
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We report a rare case of vasculo-Behçetfs disease complicated by an intracardiac thrombus.
A 48-year-old woman with a history of Behçetfs 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 cavaiIVCjto the right atriumiRA).
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-Behçetfs disease is rare, and it is important in the differential diagnosis of intracardiac tumor.
Jpn. J. Cardiovasc. Surg. 40:115-119i2011j
KeywordsFBehçetfs disease, intracardiac thrombus, pulmonary embolism, mucinous cystadenoma
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