A Case of Vasculo-Behçetfs Disease Complicated by an Intracardiac Thrombus

iDepartment of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japanj

Takashi Igarashi Hirono Satokawa Shinya Takase
Yoshiyuki Sato Tsuyoshi Yamabe Hitoshi Yokoyama
We report a rare case of vasculo-Behçetfs disease complicated by an intracardiac thrombus. A 48-year-old woman with a history of Behçetfs disease and deep vein thrombosis in a lower limb, and who had been treated with colchicine and warfarin, was given a diagnosis of an appendectal tumor by colonoscopy. Preoperative examinations, including chest computed tomography, showed a pedunculated mobile tumor from her inferior vena cavaiIVCjto the right atriumiRA). Urgent surgery was performed to prevent pulmonary embolism. We exposed the RA through a median sternotomy under cardiopulmonary bypass and extirpated the tumor that appeared macroscopically to be an organized thrombus attached to the IVC wall. The pathological diagnosis was organized thrombus. A month later, she underwent ileocecal resection and was given a pathological diagnosis of mucinous cystadenoma. Her postoperative course was uneventful. Intracardiac thrombus complicated by vasculo-Behçetfs disease is rare, and it is important in the differential diagnosis of intracardiac tumor.
  Jpn. J. Cardiovasc. Surg. 40:115-119i2011j

KeywordsFBehçetfs disease, intracardiac thrombus, pulmonary embolism, mucinous cystadenoma