Trombo en ventriculo derecho y aneurismas de arterias pulmonares en enfermedad de Behçet: reporte de un caso / Right ventricular thrombous and pulmonary artery aneurysms in Behçet's disease: report of one case
Arch. cardiol. Méx
;
77(2): 130-136, abr.-jun. 2007. ilus
Artigo
em Espanhol
| LILACS
| ID: lil-566701
ABSTRACT
Behçet's disease uncommon in the pediatric population. Intracardiac thrombus and bilateral pulmonary artery aneurysms are uncommon manifestations. We are reporting one case. A 14 years old patient was admitted, with high fever, dyspnea and hemoptysis since 4 months ago. Two years ago, fever, oral ulcers, aphthae (gingival, palate, tonsils), nose ulceration in and arthralgias-arthritis were noted. Chest radiograph showed round mass in the right lower lung field. The chest tomographic computed scan and pulmonary centellography were done to investigate malformations arterial. An Intracardiac thrombus of 27 x 12 mm was identified in the right ventricle by transthoracic echocardiography. Catheterization and pulmonary angiography showed an aneurism located in the right and left lobares arteries. Medical management with immunosuppressive and anticoagulation therapy resulted in complete remission of the clinical manifestations. Due to heamodynamic compromise surgical removal of the intracardiac thrombus was done. IN SUMMARY:
The Behçet's disease is rare disease in children. Intracardiac thrombus and bilateral pulmonary artery aneurysms are rare complications. Medical treatment (immunosupressive and anticoagulation) is the first line therapy with resolution of the mucous, skin, cardiac and pulmonary manifestations.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Artéria Pulmonar
/
Trombose
/
Síndrome de Behçet
/
Cardiopatias
/
Ventrículos do Coração
/
Aneurisma
Tipo de estudo:
Estudo prognóstico
Limite:
Adolescente
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Arch. cardiol. Méx
Assunto da revista:
Cardiologia
Ano de publicação:
2007
Tipo de documento:
Artigo
País de afiliação:
México
Instituição/País de afiliação:
Centro Médico La Raza Dr Gaudencio González Garza/MX
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