Cargando…

Inhibition of SA Node at Supine Position in Right Atrial Thrombus Complicating Behçet’s Disease – From Cardiac Surgical Point of View

Patient: Female, 27 Final Diagnosis: Right atrial thrombus compressing the sinoatrial node Symptoms: Dyspnea • cough and hemoptysis with supine bradycardia reaching 36/min and dizziness Medication: — Clinical Procedure: Cardiac surgical intervention removing the mechanical cause if conservative mana...

Descripción completa

Detalles Bibliográficos
Autores principales: Hijazi, Emad Mohamed, Ibdah, Rasheed Khaled, Rawashdeh, Sukina Ismael, Saadeh, Abdullah Mahmoud, Al-Balas, Hamzeh Ibrahim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917071/
https://www.ncbi.nlm.nih.gov/pubmed/27311379
http://dx.doi.org/10.12659/AJCR.897998
_version_ 1782438902002352128
author Hijazi, Emad Mohamed
Ibdah, Rasheed Khaled
Rawashdeh, Sukina Ismael
Saadeh, Abdullah Mahmoud
Al-Balas, Hamzeh Ibrahim
author_facet Hijazi, Emad Mohamed
Ibdah, Rasheed Khaled
Rawashdeh, Sukina Ismael
Saadeh, Abdullah Mahmoud
Al-Balas, Hamzeh Ibrahim
author_sort Hijazi, Emad Mohamed
collection PubMed
description Patient: Female, 27 Final Diagnosis: Right atrial thrombus compressing the sinoatrial node Symptoms: Dyspnea • cough and hemoptysis with supine bradycardia reaching 36/min and dizziness Medication: — Clinical Procedure: Cardiac surgical intervention removing the mechanical cause if conservative management failed can be done safely Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Behçet’s disease (BD) is a chronic multi-systemic disease of unknown cause. Intra-cardiac thrombus (ICT) complicating BD is extremely rare. In general, cardiac manifestations in BD are associated with poor prognosis. Chest computed tomography (CT) scan and echocardiogram are excellent modalities for diagnosis and patient assessment. Cardiac surgical intervention can be done safely using an on-pump technique when medical management has failed. CASE REPORT: We report on a case of a 27-year-old Jordanian woman diagnosed with BD who presented with dyspnea, cough, and hemoptysis, with supine bradycardia reaching 36 beats/minute and dizziness which disappear on sitting or standing position, and with heart rate reaching 76 beats/minute. Right atrial thrombus was identified using transthoracic echocardiogram and chest CT scan. After medical management failed, cardiac surgical intervention became an option and targeted extraction of the right atrial thrombus compressing the sinoatrial node (SA node). CONCLUSIONS: In BD, right atrial thrombus compressing the SA node is rare. If conservative management has failed, cardiac surgical intervention removing the mechanical cause can be done safely, either using on-pump with cross clamp or on-pump with beating heart technique.
format Online
Article
Text
id pubmed-4917071
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher International Scientific Literature, Inc.
record_format MEDLINE/PubMed
spelling pubmed-49170712016-06-30 Inhibition of SA Node at Supine Position in Right Atrial Thrombus Complicating Behçet’s Disease – From Cardiac Surgical Point of View Hijazi, Emad Mohamed Ibdah, Rasheed Khaled Rawashdeh, Sukina Ismael Saadeh, Abdullah Mahmoud Al-Balas, Hamzeh Ibrahim Am J Case Rep Articles Patient: Female, 27 Final Diagnosis: Right atrial thrombus compressing the sinoatrial node Symptoms: Dyspnea • cough and hemoptysis with supine bradycardia reaching 36/min and dizziness Medication: — Clinical Procedure: Cardiac surgical intervention removing the mechanical cause if conservative management failed can be done safely Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Behçet’s disease (BD) is a chronic multi-systemic disease of unknown cause. Intra-cardiac thrombus (ICT) complicating BD is extremely rare. In general, cardiac manifestations in BD are associated with poor prognosis. Chest computed tomography (CT) scan and echocardiogram are excellent modalities for diagnosis and patient assessment. Cardiac surgical intervention can be done safely using an on-pump technique when medical management has failed. CASE REPORT: We report on a case of a 27-year-old Jordanian woman diagnosed with BD who presented with dyspnea, cough, and hemoptysis, with supine bradycardia reaching 36 beats/minute and dizziness which disappear on sitting or standing position, and with heart rate reaching 76 beats/minute. Right atrial thrombus was identified using transthoracic echocardiogram and chest CT scan. After medical management failed, cardiac surgical intervention became an option and targeted extraction of the right atrial thrombus compressing the sinoatrial node (SA node). CONCLUSIONS: In BD, right atrial thrombus compressing the SA node is rare. If conservative management has failed, cardiac surgical intervention removing the mechanical cause can be done safely, either using on-pump with cross clamp or on-pump with beating heart technique. International Scientific Literature, Inc. 2016-06-17 /pmc/articles/PMC4917071/ /pubmed/27311379 http://dx.doi.org/10.12659/AJCR.897998 Text en © Am J Case Rep, 2016 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
spellingShingle Articles
Hijazi, Emad Mohamed
Ibdah, Rasheed Khaled
Rawashdeh, Sukina Ismael
Saadeh, Abdullah Mahmoud
Al-Balas, Hamzeh Ibrahim
Inhibition of SA Node at Supine Position in Right Atrial Thrombus Complicating Behçet’s Disease – From Cardiac Surgical Point of View
title Inhibition of SA Node at Supine Position in Right Atrial Thrombus Complicating Behçet’s Disease – From Cardiac Surgical Point of View
title_full Inhibition of SA Node at Supine Position in Right Atrial Thrombus Complicating Behçet’s Disease – From Cardiac Surgical Point of View
title_fullStr Inhibition of SA Node at Supine Position in Right Atrial Thrombus Complicating Behçet’s Disease – From Cardiac Surgical Point of View
title_full_unstemmed Inhibition of SA Node at Supine Position in Right Atrial Thrombus Complicating Behçet’s Disease – From Cardiac Surgical Point of View
title_short Inhibition of SA Node at Supine Position in Right Atrial Thrombus Complicating Behçet’s Disease – From Cardiac Surgical Point of View
title_sort inhibition of sa node at supine position in right atrial thrombus complicating behçet’s disease – from cardiac surgical point of view
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917071/
https://www.ncbi.nlm.nih.gov/pubmed/27311379
http://dx.doi.org/10.12659/AJCR.897998
work_keys_str_mv AT hijaziemadmohamed inhibitionofsanodeatsupinepositioninrightatrialthrombuscomplicatingbehcetsdiseasefromcardiacsurgicalpointofview
AT ibdahrasheedkhaled inhibitionofsanodeatsupinepositioninrightatrialthrombuscomplicatingbehcetsdiseasefromcardiacsurgicalpointofview
AT rawashdehsukinaismael inhibitionofsanodeatsupinepositioninrightatrialthrombuscomplicatingbehcetsdiseasefromcardiacsurgicalpointofview
AT saadehabdullahmahmoud inhibitionofsanodeatsupinepositioninrightatrialthrombuscomplicatingbehcetsdiseasefromcardiacsurgicalpointofview
AT albalashamzehibrahim inhibitionofsanodeatsupinepositioninrightatrialthrombuscomplicatingbehcetsdiseasefromcardiacsurgicalpointofview