Right Ventricular Thrombus and Tricuspid Valve Dysfunction in a Patient with Behçet’s Disease  

作　　者：Federica Valente Christian Motet Stefan Rusu Frederic Vandergheynst Federica Valente;Christian Motet;Stefan Rusu;Frederic Vandergheynst(Department of Cardiology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium;Department of Internal Medicine, CHU Tivoli, Université Libre de Bruxelles, Brussels, Belgium;Pathology Department, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium;Department of Internal Medicine, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium)

机构地区：[1]Department of Cardiology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium [2]Department of Internal Medicine, CHU Tivoli, Université Libre de Bruxelles, Brussels, Belgium [3]Pathology Department, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium [4]Department of Internal Medicine, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

出　　处：《Case Reports in Clinical Medicine》2020年第10期319-328,共10页临床医学病理报告（英文）

摘　　要：<strong>Background:</strong> Beh<span style="white-space:nowrap;">&ccedil;</span>et’s disease (BD) is a multisystemic, chronic inflammatory disorder with a broad range of manifestations including within the cardiovascular system. Cardiac involvement like intracardiac thrombus (ICT) and valvular involvement in BD are rarely seen entities and often associated with poor prognosis. <strong>Case Presentation: </strong>We present the case of a young patient with vascular-Beh<span style="white-space:nowrap;">&ccedil;</span>et diagnosed by the presence of intracardiac thrombus in the right ventricle, unresponsive to medical treatment. Even though the intracardiac lesion was successfully treated by surgical excision, he presented a severe tricuspid dysfunction some years later due to the extension of fibrosis with no surgical therapeutic option. <strong>Conclusion:</strong> Intracardiac thrombosis is a rare but early manifestation of Beh<span style="white-space:nowrap;">&ccedil;</span>et’s disease, which is difficult to diagnose and has a poor prognosis.<strong>Background:</strong> Beh<span style="white-space:nowrap;">&ccedil;</span>et’s disease (BD) is a multisystemic, chronic inflammatory disorder with a broad range of manifestations including within the cardiovascular system. Cardiac involvement like intracardiac thrombus (ICT) and valvular involvement in BD are rarely seen entities and often associated with poor prognosis. <strong>Case Presentation: </strong>We present the case of a young patient with vascular-Beh<span style="white-space:nowrap;">&ccedil;</span>et diagnosed by the presence of intracardiac thrombus in the right ventricle, unresponsive to medical treatment. Even though the intracardiac lesion was successfully treated by surgical excision, he presented a severe tricuspid dysfunction some years later due to the extension of fibrosis with no surgical therapeutic option. <strong>Conclusion:</strong> Intracardiac thrombosis is a rare but early manifestation of Beh<span style="white-space:nowrap;">&ccedil;</span>et’s disease, which is difficult to diagnose and has a poor prognosis.

关 键 词：Behçet’s Disease Cardiac Involvement Intracardiac Thrombosis Tricuspid Valve Regurgitation Endomyocardial Fibrosis 

分 类 号：R33[医药卫生—人体生理学]