Document Detail


Arterial homograft and medical therapy in pseudoaneurysm of infrarenal aorta concomitant with recurrent right ventricular thrombus in Behcet's disease.
MedLine Citation:
PMID:  16951782     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pseudoaneurysm of the infrarenal aorta due to Behcet s disease is very rare. We report a case of pseudoaneurysm associated with Behcet s disease in a 17-year-old boy with a recurrent right ventricular thrombus successfully treated with revascularization using arterial homograft patch. Echocardiography examination revealed a right ventricular mass, thought to be a thrombus in an unusual location. Postoperatively, the findings of the pathologic examination confirmed the mass as a thrombus. When the patient was subsequently re-admitted to the emergency unit with complaints of severe abdominal pain, fever, fatigue, sinus tachycardia, and a pulsating and tender abdominal mass, a right ventricular thrombus and a large pseudoaneurysm of the abdominal aorta were found on echocardiography and angiography. The patient underwent resection of the aortic aneurysm and aortoplasty, using arterial homograft patch, and received immunosuppressive and anticoagulation therapy. The thrombus of the right ventricle disappeared 4 months later. This case indicates that a right ventricular thrombosis in Behcet s disease may be managed by medical therapy.
Authors:
Jalal Vahedian; Ali Sadeghpour
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Saudi medical journal     Volume:  27     ISSN:  0379-5284     ISO Abbreviation:  Saudi Med J     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-04     Completed Date:  2007-05-18     Revised Date:  2008-06-23    
Medline Journal Info:
Nlm Unique ID:  7909441     Medline TA:  Saudi Med J     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  1401-3     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Rajaie Hospital and Research Center, Adjacent to Mellat Park, Vali-Asr Ave. PO Box 1996911151, Tehran, Iran. jalvahedian@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aneurysm, False / radiography,  surgery*,  ultrasonography
Anticoagulants / therapeutic use*
Aorta, Abdominal
Behcet Syndrome / complications*
Coronary Thrombosis / drug therapy*,  etiology*,  ultrasonography
Heart Diseases / drug therapy*,  etiology*,  ultrasonography
Heart Ventricles
Humans
Immunosuppressive Agents / therapeutic use*
Male
Recurrence
Transplantation, Homologous*
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Immunosuppressive Agents

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