Document Detail

A ball-shaped thrombus of the tricuspid valve after VSD closure.
MedLine Citation:
PMID:  19901893     Owner:  NLM     Status:  MEDLINE    
We report successful surgical management of a 26-year-old man with a ball-shaped thrombus of the tricuspid valve. He had been treated with prednisolone for IgA nephropathy and undergone surgical closure of an isolated ventricular septal defect (VSD). No symptoms, coagulative disorders, or pulmonary embolisms were found. Preoperative echocardiography showed a ball-shaped mass that had originated from the anterior leaflet of the tricuspid valve; it also revealed a small residual VSD. A histological examination revealed the mass to be an organized thrombus with no tumor components. This was a rare case of excision of an organized thrombus of the tricuspid valve. The findings suggest that the thrombus formation may have been associated with the small shunt and/or prednisolone.
Shinji Kanemitsu; Sawaka Tanabe; Kensuke Ohue; Hiroyuki Miyagawa; Yoichiro Miyake; Manabu Okabe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  15     ISSN:  2186-1005     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-11-10     Completed Date:  2010-01-14     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  346-9     Citation Subset:  IM    
Division of Cardiovascular Surgery, Kochi Health Sciences Center, Kochi, Japan.
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MeSH Terms
Cardiac Surgical Procedures / adverse effects*
Glomerulonephritis, IGA / complications,  drug therapy
Glucocorticoids / adverse effects
Heart Septal Defects, Ventricular / complications,  surgery*
Prednisolone / adverse effects
Thrombosis / diagnosis,  etiology*,  surgery
Treatment Outcome
Tricuspid Valve* / pathology,  surgery,  ultrasonography
Tricuspid Valve Insufficiency / diagnosis,  etiology*,  surgery
Reg. No./Substance:
0/Glucocorticoids; 50-24-8/Prednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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