What is it about?
We show the case of an unusual pedunculated thrombus of the right ventricle in a 37-year-old woman affected by anti-phospholypid antibody syndrome.
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Why is it important?
The diagnostic process was confounded by the difficult interpretation of cardiac magnetic resonance and unresponsiveness to medium-term oral anticoagulant therapy, although the patient's history could be predictive of the right diagnosis. Intracardiac thrombosis is a very rare complication of antiphospholipid antibody syndrome and a probably underdiagnosed cause of embolism in such patients.
Perspectives
This case report emphasizes the role of contrast-enhanced echocardiographic perfusional study as a valuable tool in the diagnostic workup of mobile cardiac masses.
Dr Maria Mattioli
Azienda Ospedaliero-Universitaria di Parma
Read the Original
This page is a summary of: History-taking still the best diagnostic modality? The case of a threatening mass in the right ventricle:, European Heart Journal, April 2015, European Society of Cardiology,
DOI: 10.1093/eurheartj/ehv073.
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