Journal of Cardiovascular Computed Tomography
Volume 4, Issue 4 , Pages 276-278, July 2010

Calcified right intraventricular thrombus in a patient with systemic lupus erythematous and antiphospholipid syndrome

  • Márcio Sommer Bittencourt, MD

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Germany
    • Internal Medicine Division, University Hospital, University of São Paulo Medical School, Av. Lineu Prestes 2565, Butantã, CEP: 05508-000, São Paulo, Brazil
    • Corresponding Author InformationCorresponding author.
    • ,
  • Martin Seltmann, MD

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Germany
    • ,
  • Gerd Muschiol

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Germany
    • ,
  • Stephan Achenbach, MD, FESC

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Germany

Received 12 January 2010; accepted 26 May 2010. published online 31 May 2010.

Abstract 

A 37-year-old patient with known systemic lupus erythematous, antiphospholipid syndrome and previous pulmonary embolism presented with non-ST elevation myocardial infarction while on adequate anticoagulation therapy. The patient was further evaluated with cardiac computed tomography. A small diagonal branch occlusion was the only coronary lesion present. A partially calcified right ventricular thrombus was incidentally found. Because of the small vessel size, cardiac catheterization was deemed unnecessary, and the patient was discharged with adjustment of immunosuppressive therapy and anticoagulation.

Keywords: Antiphospholipid syndrome, Myocardial infarction, Ventricular thrombus

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 Conflict of interest: The authors report no conflicts of interest.

 Dr. Achenbach is supported by grant BMBF 01 EV 0708 from Bundesministerium für Bildung und Forschung (BMBF), Bonn, Germany.

PII: S1934-5925(10)00349-7

doi:10.1016/j.jcct.2010.05.011

Journal of Cardiovascular Computed Tomography
Volume 4, Issue 4 , Pages 276-278, July 2010

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