Right Ventricular Thrombus and Cerebral Artery Aneurysm in a Patient with Behçet’s Disease
We report a 35-year-old woman referred to the Imam Ali Hospital, Kermanshah, Iran, in July 2014 for evaluation of postoperative dyspnoea after neurosurgery performed seven days previously for a ruptured cerebral artery aneurysm. She was known to have Behçet’s disease with a history of recurrent oral...
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doaj-64e027d0772e470f967335f68f2d763d2020-11-25T03:19:39ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal 2075-051X2075-05282016-05-0116225025310.18295/squmj.2016.16.02.0202066Right Ventricular Thrombus and Cerebral Artery Aneurysm in a Patient with Behçet’s DiseaseFeridoun Sabzi0Samaneh Mirzaei1Reza FarajiPreventive Cardiovascular Research Centre Kermanshah, IranDepartment of Neurology, Kermanshah University of Medical Sciences, Kermanshah, IranWe report a 35-year-old woman referred to the Imam Ali Hospital, Kermanshah, Iran, in July 2014 for evaluation of postoperative dyspnoea after neurosurgery performed seven days previously for a ruptured cerebral artery aneurysm. She was known to have Behçet’s disease with a history of recurrent oral and genital aphthous ulcers and uveitis. At referral, her symptoms included vertigo, dysarthria, palpitations and chest pain. Transthoracic echocardiography (TTE) revealed a large thrombus in her right ventricle outflow tract and open-heart surgery was performed eight days after the previous surgery to remove the clot. The postoperative period was complicated by transient acute renal failure, which resolved spontaneously. The patient was discharged 13 days after the cardiac surgery on warfarin, prednisolone, azathioprine and cyclophosphamide. Cyclophosphamide and azathioprine were discontinued after three months as the symptoms had completely resolved; however, prednisolone was continued due to recurrent uveitis. A 10-month follow-up TTE scan revealed no thrombus recurrence and treatment with warfarin and prednisolone was continued.https://journals.squ.edu.om/index.php/squmj/article/view/2146behçet diseasethrombusfusiform aneurysmcase reportiran. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Feridoun Sabzi Samaneh Mirzaei Reza Faraji |
spellingShingle |
Feridoun Sabzi Samaneh Mirzaei Reza Faraji Right Ventricular Thrombus and Cerebral Artery Aneurysm in a Patient with Behçet’s Disease Sultan Qaboos University Medical Journal behçet disease thrombus fusiform aneurysm case report iran. |
author_facet |
Feridoun Sabzi Samaneh Mirzaei Reza Faraji |
author_sort |
Feridoun Sabzi |
title |
Right Ventricular Thrombus and Cerebral Artery Aneurysm in a Patient with Behçet’s Disease |
title_short |
Right Ventricular Thrombus and Cerebral Artery Aneurysm in a Patient with Behçet’s Disease |
title_full |
Right Ventricular Thrombus and Cerebral Artery Aneurysm in a Patient with Behçet’s Disease |
title_fullStr |
Right Ventricular Thrombus and Cerebral Artery Aneurysm in a Patient with Behçet’s Disease |
title_full_unstemmed |
Right Ventricular Thrombus and Cerebral Artery Aneurysm in a Patient with Behçet’s Disease |
title_sort |
right ventricular thrombus and cerebral artery aneurysm in a patient with behçet’s disease |
publisher |
Sultan Qaboos University |
series |
Sultan Qaboos University Medical Journal |
issn |
2075-051X 2075-0528 |
publishDate |
2016-05-01 |
description |
We report a 35-year-old woman referred to the Imam Ali Hospital, Kermanshah, Iran, in July 2014 for evaluation of postoperative dyspnoea after neurosurgery performed seven days previously for a ruptured cerebral artery aneurysm. She was known to have Behçet’s disease with a history of recurrent oral and genital aphthous ulcers and uveitis. At referral, her symptoms included vertigo, dysarthria, palpitations and chest pain. Transthoracic echocardiography (TTE) revealed a large thrombus in her right ventricle outflow tract and open-heart surgery was performed eight days after the previous surgery to remove the clot. The postoperative period was complicated by transient acute renal failure, which resolved spontaneously. The patient was discharged 13 days after the cardiac surgery on warfarin, prednisolone, azathioprine and cyclophosphamide. Cyclophosphamide and azathioprine were discontinued after three months as the symptoms had completely resolved; however, prednisolone was continued due to recurrent uveitis. A 10-month follow-up TTE scan revealed no thrombus recurrence and treatment with warfarin and prednisolone was continued. |
topic |
behçet disease thrombus fusiform aneurysm case report iran. |
url |
https://journals.squ.edu.om/index.php/squmj/article/view/2146 |
work_keys_str_mv |
AT feridounsabzi rightventricularthrombusandcerebralarteryaneurysminapatientwithbehcetsdisease AT samanehmirzaei rightventricularthrombusandcerebralarteryaneurysminapatientwithbehcetsdisease AT rezafaraji rightventricularthrombusandcerebralarteryaneurysminapatientwithbehcetsdisease |
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