Antiphospholipid syndrome presenting as intracardiac thrombus with pulmonary embolism.
The presence of antiphospholipid antibodies is associated with arterial and venous thrombosis. A young female with initial presentation of dyspnea and cough that lasted for days is reported. A computed tomographic scan of her chest and echocardiography showed features of thrombus formation over the right atrium, complicated with pulmonary thromboembolism. Antiphospholipid syndrome was diagnosed according to elevated activated partial thromboplastin time, high serum titers of anticardiolipin antibody, and the presence of intracardiac thrombus with pulmonary embolism. This thrombus was subsequently removed successfully with surgical intervention, and the patient's recovery was uneventful.
Ye
Zhong-Xuan
ZX
School of Medicine, National Yang-Ming University, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taiwan.
Yu
Wen-Chung
WC
Hsueh
Chun-Mei
CM
Leu
Hsin-Bang
HB
Chen
Jaw-Wen
JW
Lin
Shing-Jong
SJ
D000328:Adult; D016736:Antiphospholipid Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography