title: Recurrent pulmonary embolism with non-mobile thrombus in a patient with leiomyosarcoma of the left renal vein.
abstract: We describe the case of a man who suffered recurrent pulmonary embolisms despite well-conducted oral anticoagulant therapy. Echocardiography and helical computed tomography revealed a non-mobile right atrial mass related to a leiomyosarcoma of the left renal vein. The prognosis of such a disease is bad and the patient died at 1-year follow-up. Recurrent pulmonary embolism with well-conducted oral anticoagulant therapy requires further appropriate investigations, because of high suspicion of neoplastic process.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Mansencal
authors.forename: Mostafa
authors.initials: M
authors.lastname: El Hajjam
authors.forename: Antoine
authors.initials: A
authors.lastname: Vieillard-Baron
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Pelage
authors.forename: Pascal
authors.initials: P
authors.lastname: Lacombe
authors.forename: Olivier
authors.initials: O
authors.lastname: Dubourg
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D017809:Fatal Outcome; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control; D012008:Recurrence; D012082:Renal Veins; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014463:Ultrasonography; D019043:Vascular Neoplasms / Q000150:complications* / Q000473:pathology; D014682:Vena Cava, Inferior / Q000473:pathology; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*
chemical_list: D000925:Anticoagulants