A ball-shaped thrombus of the tricuspid valve after VSD closure

We report successful surgical management of a 26-year-old man with a ball-shaped thrombus of the tricuspid valve. He had been treated with prednisolone for IgA nephropathy and undergone surgical closure of an isolated ventricular septal defect (VSD). No symptoms, coagulative disorders, or pulmonary...

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Bibliographic Details
Published inAnnals of thoracic and cardiovascular surgery Vol. 15; no. 5; p. 346
Main Authors Kanemitsu, Shinji, Tanabe, Sawaka, Ohue, Kensuke, Miyagawa, Hiroyuki, Miyake, Yoichiro, Okabe, Manabu
Format Journal Article
LanguageEnglish
Published Japan 01.10.2009
Subjects
Adult
Cardiac Surgical Procedures - adverse effects
Glomerulonephritis, IGA - complications
Glomerulonephritis, IGA - drug therapy
Glucocorticoids - adverse effects
Heart Septal Defects, Ventricular - complications
Heart Septal Defects, Ventricular - surgery
Humans
Male
Prednisolone - adverse effects
Thrombectomy
Thrombosis - diagnosis
Thrombosis - etiology
Thrombosis - surgery
Treatment Outcome
Tricuspid Valve - diagnostic imaging
Tricuspid Valve - pathology
Tricuspid Valve - surgery
Tricuspid Valve Insufficiency - diagnosis
Tricuspid Valve Insufficiency - etiology
Tricuspid Valve Insufficiency - surgery
Ultrasonography
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Summary:We report successful surgical management of a 26-year-old man with a ball-shaped thrombus of the tricuspid valve. He had been treated with prednisolone for IgA nephropathy and undergone surgical closure of an isolated ventricular septal defect (VSD). No symptoms, coagulative disorders, or pulmonary embolisms were found. Preoperative echocardiography showed a ball-shaped mass that had originated from the anterior leaflet of the tricuspid valve; it also revealed a small residual VSD. A histological examination revealed the mass to be an organized thrombus with no tumor components. This was a rare case of excision of an organized thrombus of the tricuspid valve. The findings suggest that the thrombus formation may have been associated with the small shunt and/or prednisolone.
ISSN:2186-1005