alexa Cardiac and Cerebral thrombosis in Behcet’s Syndrome
ISSN: 2327-5146

General Medicine: Open Access
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Case Report

Cardiac and Cerebral thrombosis in Behcet’s Syndrome

Freidoun Sabzi, Fahime ghasemi and Reza Faraji*
Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
Corresponding Author : Sabzi F
Department of Cardiovascular Surgery
Imam Ali Heart Center
Kermanshah University of Medical Sciences
Kermanshah, Iran
Tel: +98 831 8360295;
Fax: +98 831 9360043;
E-mail: feridoun [email protected]
ReceivedMay 27, 2014; Accepted July 30, 2014; Published August 20, 2014
Citation: Sabzi F, Ghasemi F, Faraji R (2014) Cardiac and Cerebral thrombosis in Behcet’s Syndrome. Gen Med (Los Angel) 2:145. doi: 10.4172/2327-5146.1000145
Copyright: 2014 Sabzi F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

A 26-year-old man without history of Behcet’s syndrome was admitted to our department with a history of headache, fever, dyspnea, and weight loss. Transthoracic echocardiography and brain magnetic resonance imaging revealed a right atrial thrombus and sagital sinus thrombosis respectively. Surgery revealed the mass to be a thrombus. After 1 month of treatment with warfarin, he had experienced right atrial clot again. The von Willebrand factor antigen level was found to be elevated in blood examination. The large right atrial clot resected by second open heart surgery and medical treatment continued with cyclophosphamide, and corticosteroid, and thrombus did not reoccur in 6-month follow-up. To the best of our knowledge this is the first case of cerebral vein thrombosis associated with right atrial clot formation.

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