Article Text

Mitral and tricuspid valve thrombus in antiphospholipid syndrome
  1. J Tomcsányi,
  2. A Zsoldos,
  3. M Szabó

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A 58 year old woman with a one year history of antiphospholipid syndrome and ineffective anticoagulant treatment (international normalised ratio 1.2) was admitted with pain in the left hypochondrium. Abdominal ultrasound revealed a 5 cm wide splenic infarction. Transoesophageal echocardiography showed mobile masses resembling bunches of grapes on both the mitral and the tricuspid valves (panels A and B, and video 1—to view video footage go to On control transoesophageal echocardiography after six weeks of effective anticoagulation, these masses almost entirely disappeared from both valves (panel C and video 2). The patient showed no signs or symptoms of embolism during the same period.

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