Key result
Surgical excision confirms recurrent right atrial masses are thrombotic in pregnant woman with antiphospholipid syndrome.
Why the study?
Cardiac manifestations of antiphospholipid syndrome, including intracardiac masses, present diagnostic challenges especially during pregnancy.
Case Report (n=1)
May inform differential diagnosis of right atrial masses in pregnant antiphospholipid syndrome patients; leaves open optimal management strategies.
Clinical manifestations of the antiphospholipid syndrome result from thromboembolic phenomena that occur in all vascular territories. Cardiac manifestations frequently associated with this syndrome include valvular and myocardial lesions. We present a case report of primary antiphospholipid syndrome in a pregnant young woman with a right atrial mass detected by echocardiography. Its morphological characteristics presented problems in establishing differential diagnosis within atrial thrombus and atrial myxoma. This case was complicated by pulmonary embolism and recurrence of the mass within four months. Cardiac surgery was performed and two masses excised. Histopathological studies showed them to be thrombotic in nature.
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Matos et al. (1994) conducted a case report in Primary antiphospholipid syndrome (n=1). Cardiac surgery (excision of masses) was evaluated on Histopathological diagnosis of the excised masses. Cardiac surgery and excision of recurrent right atrial masses in a pregnant woman with primary antiphospholipid syndrome confirmed the masses were thrombotic in nature.
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