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Right ventricular thrombus with Behçet's syndrome: successful treatment with warfarin and immunosuppressive agents

Sait M Dogan1, Alparslan Birdane, Cengiz Korkmaz

  • 1Department of Cardiology, SSK Region Hospital, Eskisehir, Turkey. smdogan@yahoo.com

Texas Heart Institute Journal
|October 20, 2007
PubMed

Insights

Behçet

Area of Science:

  • Cardiology
  • Rheumatology
  • Internal Medicine

Background:

  • Behçet's syndrome is a rare chronic multisystem disorder.
  • Cardiac involvement is an extremely rare manifestation of Behçet's syndrome.

Observation:

  • A 33-year-old male patient with Behçet's syndrome presented with cough, fever, chest pain, hemoptysis, and weight loss.
  • Echocardiography revealed a right ventricular thrombus.

Findings:

  • The intracardiac thrombus in the right ventricle resolved after 1 month of treatment.
  • Treatment included warfarin, cyclophosphamide, and corticosteroids.

Implications:

  • This case highlights the importance of considering cardiac involvement in Behçet's syndrome.
  • Early diagnosis and comprehensive treatment are crucial for managing rare cardiac manifestations.

Keywords:
Behcet's syndrome/complications/drug therapyMediterranean region/epidemiologyMiddle East/epidemiologydiagnosis, differentialechocardiography, transesophagealheart ventricles/ultrasonographyimmunosuppressive agents/therapeutic usethrombosis/etiologyvasculitiswarfarin/therapeutic use

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