Calcified right intraventricular thrombus in a patient with systemic lupus erythematous and antiphospholipid syndrome

Abstract A 37-year-old patient with known systemic lupus erythematous, antiphospholipid syndrome and previous pulmonary embolism presented with non-ST elevation myocardial infarction while on adequate anticoagulation therapy. The patient was further evaluated with cardiac computed tomography. A smal...

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Bibliographic Details
Published in:Journal of cardiovascular computed tomography 2010-07, Vol.4 (4), p.276-278
Main Authors: Bittencourt, Márcio Sommer, MD, Seltmann, Martin, MD, Muschiol, Gerd, Achenbach, Stephan, MD, FESC
Format: Article
Language:English
Subjects:
Adult
Anticoagulants - therapeutic use
Antiphospholipid syndrome
Antiphospholipid Syndrome - complications
Antiphospholipid Syndrome - drug therapy
Calcinosis - diagnostic imaging
Calcinosis - etiology
Cardiovascular
Coronary Angiography - methods
Female
Heart Diseases - diagnostic imaging
Heart Diseases - drug therapy
Heart Diseases - etiology
Heart Ventricles - diagnostic imaging
Humans
Immunosuppressive Agents - therapeutic use
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - drug therapy
Myocardial infarction
Myocardial Infarction - etiology
Thrombosis - diagnostic imaging
Thrombosis - drug therapy
Thrombosis - etiology
Tomography, X-Ray Computed
Ventricular thrombus
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Summary:Abstract A 37-year-old patient with known systemic lupus erythematous, antiphospholipid syndrome and previous pulmonary embolism presented with non-ST elevation myocardial infarction while on adequate anticoagulation therapy. The patient was further evaluated with cardiac computed tomography. A small diagonal branch occlusion was the only coronary lesion present. A partially calcified right ventricular thrombus was incidentally found. Because of the small vessel size, cardiac catheterization was deemed unnecessary, and the patient was discharged with adjustment of immunosuppressive therapy and anticoagulation.
ISSN:1934-5925
1876-861X
DOI:10.1016/j.jcct.2010.05.011