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J Thorac Cardiovasc Surg 2005;130:1462-1463
© 2005 The American Association for Thoracic Surgery

Brief Communication

Antiphospholipid syndrome and right atrial mass

Cristina Basso, MD, PhD a , Tomaso Bottio, MD, PhD b , * , Maurizio Rubino, MD b , Amelia Ruffatti, MD c , Demetrio Pittarello, MD a , Gaetano Thiene, MD a , * , Gino Gerosa, MD b

a Institute of Pathological Anatomy, University of Padua Medical School, Padua, Italy.
b Institute of Cardiovascular Surgery, University of Padua Medical School, Padua, Italy.
c Institute of Rheumatology, University of Padua Medical School, Padua, Italy.

* Address for reprints: Gaetano Thiene, MD, FRCP, Institute of Pathological Anatomy, University of Padua Medical School, 35121 Padua, Italy. (Email: cardpath@unipd.it).

The first 20% of the full text of this article appears below.

Clinical Summary

A 43-year-old woman was urgently admitted to the hospital because of a syncopal episode. In the past she had had repeated spontaneous abortions, venous thrombotic events during pregnancy, and thrombocytopenia associated with lupus anticoagulant positivity. A diagnosis of antiphospholipid syndrome (APS) had been suggested 14 years earlier. Results of cardiac physical examination and a 12-lead electrocardiogram were unremarkable. Two-dimensional transthoracic and transesophageal echocardiography showed ventricular and left atrial chambers normal in size and function, whereas a polypus, mobile mass attached to the free wall was visualized in the right atrium (Figure 1, A and B). Semilunar and atrioventricular valves were normal, without any evidence of vegetations. The patient underwent surgical removal of the mass, and pathologic examination ruled out a neoplastic or infective nature, by showing a fibrin network entrapping blood . . . [Full Text of this Article]




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Home page
 ESC Textbook of Cardiovascular MedicineHome page
G. Thiene, M. Valente, M. Lombardi, and C. Basso
CHAPTER 20 Tumours of the Heart
ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter.
[Abstract] [Full Text] [PDF]


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