El Houari Tarik, Oukerraj Latifa, Ghzaiel Lamiae, Fellat Ibtissam, Azeroual Mounia, Serraj Khalid, Mezalek Zoubida Tazi, Cherti Mohammed, Zarzur Jamila, Arharbi Mohammed
Division of Cardiology, Ibn Sina Hospital, Rabat, Morocco.
Hellenic J Cardiol. 2009 Sep-Oct;50(5):420-2.
We present the case of an 18-year-old male patient with Behçet's disease who presented with dyspnoea, fever and haemoptysis. A diagnosis of right ventricular thrombosis associated with endomyocardial fibrosis, a pulmonary artery aneurysm, and cerebral vein thrombosis was made. Considering the absence of haemodynamic compromise and the risk of recurrence after surgical treatment for cardiac thrombus, we preferred medical management, which consisted of immunosuppression and anticoagulation. During a follow-up period of 9 months we observed complete dissolution of the thrombus and dramatic improvement of the patient's clinical status.
我们报告一例18岁患有白塞病的男性患者，该患者出现呼吸困难、发热和咯血症状。诊断为与心内膜纤维化相关的右心室血栓形成、肺动脉瘤和脑静脉血栓形成。考虑到不存在血流动力学损害以及心脏血栓手术治疗后复发的风险，我们选择了药物治疗，包括免疫抑制和抗凝治疗。在9个月的随访期内，我们观察到血栓完全溶解，患者的临床状况显著改善。
