Intracardiac thrombosis in BehÁetís disease: a rare complication
Ghita Saghi, Nawal Doghmi
The Pan African Medical Journal. ;15:91. doi:10.11604/pamj..15.91.2635

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Intracardiac thrombosis in Behçetís disease: a rare complication

Ghita Saghi, Nawal Doghmi
Pan Afr Med J. 2013; 15:91. doi:10.11604/pamj.2013.15.91.2635. Published 09 Jul 2013



A 13 year-old boy with BD since 2007 was admitted in May 2012 for dyspnea and prolonged fever for 2 months. A physical examination did not reveal signs of heart failure. Transthoracic echocardiography showed a homogeneous mass attached to the right ventricle. We complemented with an magnetic resonance Imaging scan (MRI) that revealed a voluminous, mobile thrombus in the right ventricle and a massive pulmonary embolism. We opted for a conservative treatment: Heparin, oral anticoagulation and Methylprednisolone followed by Prednisone . The outcome was favorable under medical treatment. Cardiovascular disease in Behçetís disease varies from 7 to 29% of reported cases and is represented mainly by endocarditis, pericarditis and myocardial infarction. Intracardiac thrombosis (ICT) is exceptional and can since the first case described at necropsy by Buge in 1977, only about 50 cases of ICT have been reported. The association with pulmonary embolism is serious and life-threatening.


Corresponding author:
Ghita Saghi, Cardiologie B, CHU IBN SINA, Rabat, Maroc
gsaghi1@hotmail.fr

©Ghita Saghi et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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