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.
Copyright © 2013 Elsevier Masson SAS. All rights reserved.
MeSH terms
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Acenocoumarol / therapeutic use
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Adult
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Aneurysm / diagnosis*
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Aneurysm / etiology
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Anticoagulants / adverse effects
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Anticoagulants / therapeutic use
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Behcet Syndrome / complications*
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Behcet Syndrome / diagnosis
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Behcet Syndrome / drug therapy
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Cyclophosphamide / therapeutic use
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Dyspnea / etiology
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Heart Atria / diagnostic imaging
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Heart Diseases / diagnostic imaging
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Heart Diseases / etiology*
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Hemoptysis / chemically induced
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Hemoptysis / etiology*
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Heparin / adverse effects
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Heparin / therapeutic use
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Humans
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Male
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Pulmonary Artery / pathology*
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Pulmonary Embolism / etiology
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Recurrence
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Thrombosis / diagnostic imaging
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Thrombosis / etiology*
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Ultrasonography
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Weight Loss
Substances
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Anticoagulants
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Cyclophosphamide
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Heparin
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Acenocoumarol