Korean J Med.
2012 Mar;82(3):347-351.
A Case of Behcet's Syndrome with Acute Myocardial Infarction and Intracardiac Thrombosis
- Affiliations
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- 1Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea. immanuel@schmc.ac.kr
- 2Department of Radiology, Soonchunhyang University College of Medicine, Bucheon, Korea.
Abstract
- A 36-year-old man with a history of Behcet's syndrome and vascular complications visited the emergency room due to sudden chest pain and dyspnea. He had no coronary risk factors. Electrocardiography showed ST elevations in multiple precordial leads. Echocardiography showed akinesia of the anterior wall, interventricular septum, and apex, with a movable round mass measuring 1.4 x 1.5 cm in the right atrium. Cardiac computed tomography (CT) suggested the presence of a thrombus in the coronary sinus protruding into the right atrium. Coronary angiography revealed total occlusion with thrombi in the proximal left anterior descending coronary artery. Thrombectomy and stent insertion were performed. After the procedure, the patient was prescribed warfarin. Follow-up CT indicated the disappearance of the thrombi originating from the coronary sinus.
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