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European Heart Journal 1990 11(10):957-959;
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Right atrial, right ventricular and left ventricular thrombi in (incomplete) Behcet's disease

G. VANHALEWEYK*,, K. M. EL-RAMAHI**, M. HAZMI**, J. O. SIECK**, L. ZAMAN* and M. FAWZY*

*Department of Cardiovascular Diseases, Research Centre Riyadh Saudi Arabia
**Department of Medicine King Faisal Specialist Hospital and Research Centre Riyadh Saudi Arabia

Received 1 March 1989; revised 6 December 1989; .

Correspondence to. Dr Guido Vanhaleweyk, Department of Cardio-vascular Diseases, King Faisal Specialist Hospital and Research Centre, P.O. Box 3354, Riyadh 11211, Kingdom of Saudi Arabia.

Abstract

An 18-year-old man presented with a history of oral sores and presence of high fever, scrotal ulcerations and haemoptysis. Multiple mural cardiac masses were present in the right atrium, right ventricle and left ventricle. Furthermore, pulmonary vasculitis with aneurysm formation and venous thrombosis involving the superior sagittal sinus and right transverse sinus were found, and the diagnosis was made of (incomplete) Behcet's disease. While receiving anticoagulation and later, treatment with prednisone and cyclophosphamide, the cardiac thrombi gradually disappeared. We stress the importance of early echocardiography to evaluate cardiac abnormalities in Behcet's disease.

Key Words: Behcet's disease • cardiac thrombi • pulmonary vasculitis


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