[Hemoptysis revealing pulmonary artery aneurysm associated with intracardiac thrombosis: a delicate anticoagulation situation (a case report of Behçet's disease)]

J Mal Vasc. 2013 May;38(3):198-200. doi: 10.1016/j.jmv.2013.01.001. Epub 2013 Feb 12.
[Article in French]

Abstract

Behçet's disease is a vasculitis affecting both arteries and veins. Cardiac involvement is less well known. The association of an aneurysm of the pulmonary artery and intracardiac thrombosis is rare, and a therapeutic challenge. We report the case of a 26-year-old patient hospitalized for moderately abundant hemoptysis and New York Heart Association (NYHA) class III dyspnea, which illustrates the difficulty encountered when using anticoagulants in this complex situation.

Publication types

  • Case Reports

MeSH terms

  • Acenocoumarol / therapeutic use
  • Adult
  • Aneurysm / diagnosis*
  • Aneurysm / etiology
  • Anticoagulants / adverse effects
  • Anticoagulants / therapeutic use
  • Behcet Syndrome / complications*
  • Behcet Syndrome / diagnosis
  • Behcet Syndrome / drug therapy
  • Cyclophosphamide / therapeutic use
  • Dyspnea / etiology
  • Heart Atria / diagnostic imaging
  • Heart Diseases / diagnostic imaging
  • Heart Diseases / etiology*
  • Hemoptysis / chemically induced
  • Hemoptysis / etiology*
  • Heparin / adverse effects
  • Heparin / therapeutic use
  • Humans
  • Male
  • Pulmonary Artery / pathology*
  • Pulmonary Embolism / etiology
  • Recurrence
  • Thrombosis / diagnostic imaging
  • Thrombosis / etiology*
  • Ultrasonography
  • Weight Loss

Substances

  • Anticoagulants
  • Cyclophosphamide
  • Heparin
  • Acenocoumarol