Key result
In an 18-year-old man with right ventricular thrombosis and anticardiolipin antibodies, the thrombus recurred after surgical removal but dissipated with oral corticosteroids and anticoagulation.
Case Report (n=1)
Oral corticosteroids and long-term anticoagulation successfully treated recurrent right ventricular thrombosis associated with antiphospholipid antibodies after surgical failure.
An 18 year old man presented with cough and dyspnoea caused by pulmonary infarction. A large friable mass of organising thrombus in an anatomically normal right ventricle was identified as an embolic source. The acute illness was associated with raised titres of anticardiolipin antibodies, one of the antiphospholipid group. This thrombus recurred after surgical removal but subsequently was dissipated after treatment with oral corticosteroids and long-term oral anticoagulation.
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O'Hickey et al. (1993) conducted a case report in Right ventricular thrombosis associated with phospholipid antibodies (n=1). Surgical removal followed by oral corticosteroids and long-term oral anticoagulation was evaluated on Resolution of thrombus. In an 18-year-old man with right ventricular thrombosis and anticardiolipin antibodies, the thrombus recurred after surgical removal but dissipated with oral corticosteroids and anticoagulation.
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