title: Ventricular endomyocardial fibrosis in a pregnant female with Behçet's disease.
abstract: A 32-year-old pregnant woman, diagnosed with Behçet's disease 6 months earlier, presented with recent mild hemoptysis and exertional dyspnea. Transthoracic echocardiography showed an enlarged dysfunctional right ventricle. A large hypoechoic triangular-shaped mass was seen attached to the inner right ventricular wall, filling the cavity. No change in the size of the mass was noted after anticoagulant administration, and right heart failure progressed. Surgery was performed to remove the mass and repair the tricuspid valve. This was a very rare presentation of Behçet's disease in pregnancy, which resulted in delivery of a completely healthy baby despite corticosteroid pulse therapy and cyclophosphamide.
authors.affiliation: 1 Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Mirfeizi
authors.affiliation: 2 Department of Pathology, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Bahram
authors.initials: B
authors.lastname: Memar
authors.affiliation: 3 Preventive Cardiovascular Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.|4 Golestan Rheumatology Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
authors.forename: Hoorak
authors.initials: H
authors.lastname: PourZand
authors.affiliation: 4 Golestan Rheumatology Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
authors.forename: Mohammad Hadi
authors.initials: MH
authors.lastname: Molseghi
authors.affiliation: 4 Golestan Rheumatology Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
authors.forename: Arash
authors.initials: A
authors.lastname: Rezaei Shahmirzadi
authors.affiliation: 5 Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran.
authors.forename: Nafiseh
authors.initials: N
authors.lastname: Abdolahi
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D001706:Biopsy; D006348:Cardiac Surgical Procedures; D004452:Echocardiography; D004719:Endomyocardial Fibrosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005260:Female; D005355:Fibrosis; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D017380:Hypertrophy, Right Ventricular / Q000209:etiology / Q000503:physiopathology; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D050498:Live Birth; D009206:Myocardium / Q000473:pathology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D018497:Ventricular Dysfunction, Right / Q000209:etiology / Q000503:physiopathology; D016278:Ventricular Function, Right; D020257:Ventricular Remodeling
chemical_list: D000305:Adrenal Cortex Hormones; D007166:Immunosuppressive Agents
keywords: Behçet syndrome; Cardiovascular diseases; Endomyocardial fibrosis; Immunosuppressive agents; Pregnancy