Denie C, Lefebvre C, Dion R, Coche E
Service de médecine interne, Cliniques Universitaires Saint-Luc, Bruxelles, Belgique.
Rev Med Interne. 1994 May;15(6):409-11. doi: 10.1016/s0248-8663(05)81457-2.
Various thrombo-embolic complications have been related to the antiphospholipid syndrome. The authors report the case of a patient with a primary antiphospholipid syndrome associated with a right auricular mass highly suggesting a myxoma by both echocardiography and nuclear magnetic resonance imaging. Meanwhile, the histological examination of the operative specimen showed a well organized and calcified thrombus. Intracardiac thrombus has been rarely reported as a complication of the antiphospholipid syndrome. The preoperative investigations can't differentiate such a thrombus with a myxoma and the diagnosis is usually made postoperatively.
多种血栓栓塞并发症与抗磷脂综合征相关。作者报告了一例原发性抗磷脂综合征患者，其右心房肿块通过超声心动图和核磁共振成像高度提示为黏液瘤。同时，手术标本的组织学检查显示为组织良好且钙化的血栓。心内血栓作为抗磷脂综合征的并发症鲜有报道。术前检查无法区分这种血栓与黏液瘤，诊断通常在术后做出。
