Matos V, Pinheiro B, Maia P, Leite H, Coelho A, Fernandes A
Serviço de Medicina, Centro Hospitalar de Coimbra.
Acta Med Port. 1993 Nov;6(11):539-42.
Clinical manifestations of the antiphospholipid syndrome result from thromboembolic phenomena that occur in all vascular territories. Cardiac manifestations frequently associated with this syndrome include valvular and myocardial lesions. We present a case report of primary antiphospholipid syndrome in a pregnant young woman with a right atrial mass detected by echocardiography. Its morphological characteristics presented problems in establishing differential diagnosis within atrial thrombus and atrial myxoma. This case was complicated by pulmonary embolism and recurrence of the mass within four months. Cardiac surgery was performed and two masses excised. Histopathological studies showed them to be thrombotic in nature.
抗磷脂综合征的临床表现源于发生在所有血管区域的血栓栓塞现象。与该综合征频繁相关的心脏表现包括瓣膜和心肌病变。我们报告一例年轻孕妇原发性抗磷脂综合征病例，经超声心动图检测发现右心房肿块。其形态学特征在鉴别诊断心房血栓和心房黏液瘤方面存在困难。该病例并发肺栓塞，且肿块在四个月内复发。进行了心脏手术，切除了两个肿块。组织病理学研究显示它们本质上是血栓性的。
