title: Association of right heart thrombosis, endomyocardial fibrosis, and pulmonary artery aneurysm in Behçet's disease.
abstract: A 29-year-old man with a 5-year history of Behçet's disease was admitted for fever, dyspnae, chest pain, and hemoptysis. A diagnosis of right ventricle and atrial thrombosis associated with a pulmonary artery aneurysm was made. The patient was treated with anticoagulants and prednisone. Since hemoptysis persisted, surgical excision of the intracardiac thrombosis was performed and histological findings were consistent with organizing thrombus and endomyocardial fibrosis. Transesophageal echocardiography 6 months later showed recurrence of the right ventricle thrombosis. A course of 6-monthly boluses of intravenous cyclophosphamide was begun. Currently, at 2 years of follow-up, the patient is asymptomatic.
authors.affiliation: Department of Internal Medicine, Hospital La Rabta, 1007, Tunis, Tunisia
authors.forename: Mohamed
authors.initials: M
authors.lastname: Houman
authors.forename: Imène
authors.initials: I
authors.lastname: Ksontini
authors.forename: Imed
authors.initials: I
authors.lastname: Ben Ghorbel
authors.forename: Mounir
authors.initials: M
authors.lastname: Lamloum
authors.forename: Amel
authors.initials: A
authors.lastname: Braham
authors.forename: Emna
authors.initials: E
authors.lastname: Mnif
authors.forename: Mohamed
authors.initials: M
authors.lastname: Miled