title: Calcified right ventricular thrombus and antiphospholipid syndrome.
abstract: Antiphospholipid syndrome has been associated with venous and arterial thrombotic events but intracardiac thrombosis is rare. We describe a case about a 30-year-old woman, admitted with a 6-month history of arthralgia, fatigue, and intermittent fever. Subsequent investigation revealed the presence of a large and calcified mass in the right ventricular outflow tract attached to the subvalvular tricuspid apparatus. Cardiac surgery was performed and histological examination demonstrated it to be composed entirely of calcified thrombus. Screening laboratory evaluation for hypercoagulable states confirmed the diagnosis of antiphospholipid syndrome.
authors.affiliation: Cardiovascular Institute, San Carlos University Hospital, Madrid, Spain. albertutor@hotmail.com
authors.forename: Jose Alberto
authors.initials: JA
authors.lastname: de Agustín
authors.forename: Iván Javier
authors.initials: IJ
authors.lastname: Nuñez-Gil
authors.forename: Borja
authors.initials: B
authors.lastname: Ruiz-Mateos
authors.forename: Maria del Carmen
authors.initials: Mdel C
authors.lastname: Manzano
authors.forename: David
authors.initials: D
authors.lastname: Vivas
authors.forename: Leopoldo Pérez
authors.initials: LP
authors.lastname: de Isla
authors.forename: Jose
authors.initials: J
authors.lastname: Zamorano
authors.forename: Carlos
authors.initials: C
authors.lastname: Macaya
mesh_terms: D000328:Adult; D016736:Antiphospholipid Syndrome / Q000150:complications*; D002114:Calcinosis / Q000175:diagnosis* / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005260:Female; D006352:Heart Ventricles; D006801:Humans; D008279:Magnetic Resonance Imaging; D011651:Pulmonary Artery; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome