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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

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Newly Diagnosed SLE With APLS and Right Atrial Thrombus.

Ilya Ivyanskiy¹, Shady Abdelbaki¹, Muhammad Mohsin Qayyom¹

¹Christiana Care Health System, Newark, Delaware, USA.

Journal of Investigative Medicine High Impact Case Reports

|August 16, 2023

Summary

Systemic lupus erythematosus (SLE) with antiphospholipid syndrome (APLS) can cause rare right atrial thrombi. Early anticoagulation and SLE management are crucial for this life-threatening condition.

Keywords:

antiphospholipid syndrome right atrial thrombus systemic lupus erythematosus

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Area of Science:

Rheumatology
Cardiology
Hematology

Background:

Systemic lupus erythematosus (SLE) is a complex autoimmune disease affecting multiple organs.
Antiphospholipid syndrome (APLS) frequently co-occurs with SLE, characterized by arterial and venous thrombosis.
Intracardiac thrombi are rare but severe complications of APLS in SLE patients.

Observation:

This case report details a young patient newly diagnosed with SLE and APLS.
The patient presented with a rare complication: a thrombus in the right atrium of the heart.
Right atrial thrombus formation is an uncommon manifestation within the spectrum of cardiac involvement in APLS.

Findings:

The patient's condition involved both SLE and APLS, leading to the formation of a right atrial thrombus.
Treatment focused on anticoagulation, primarily with warfarin, alongside management of the underlying SLE.
This case highlights the potential for unusual thrombotic events in SLE-APLS.

Implications:

Increased clinical awareness of right atrial thrombi in SLE patients with APLS is warranted.
Prompt diagnosis and anticoagulation are vital to prevent potentially fatal outcomes.
This adds to the limited literature on this specific rare cardiac manifestation, emphasizing the need for vigilance.