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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(03): 409-411
DOI: 10.1055/s-0043-1762933
Case Report

A Curious Case of Multiple Intracardiac Masses: Antiphospholipid Syndrome Manifesting as Multiple Intracardiac Thrombi

Vimal Chacko Mondy 
1   Department of Imaging Sciences and Interventional Radiology, Sree Chitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Jineesh Valakkada 
1   Department of Imaging Sciences and Interventional Radiology, Sree Chitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Anoop Ayappan 
1   Department of Imaging Sciences and Interventional Radiology, Sree Chitra Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
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Abstract

Antiphospholipid syndrome (APS) is a multisystem autoimmune disease characterized by acquired hypercoagulability, recurrent pregnancy loss, and elevated levels of antiphospholipid antibodies. The common cardiovascular manifestations include valvulopathy, coronary artery disease (CAD), myocardial dysfunction, cardiac thrombi, pulmonary thromboembolism, and pulmonary hypertension. Herein we present a case who presented with stroke with incidentally detected multiple cardiac lesions on echocardiography suspicious for mass. Cardiac magnetic resonance (CMR) was able to accurately characterize these lesions as cardiac thrombi, which were subsequently confirmed by endomyocardial biopsy. In this article, the case we discussed, highlights the importance of CMR in accurately characterizing the suspected mass lesion in echocardiography, thus arriving at an accurate diagnosis that changed patient management altogether.

Keywords

antiphospholipid antibody syndrome - cardiac MRI - cardiac thrombus


Publication History

Article published online:
04 March 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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