%0 Journal Article
%T Pulmonary Arterial Thrombosed Aneurysm Associated with Intracardiac Thrombus and Pulmonary Embolism in a Patient with Neuro-Behçet¡¯s Disease
%A Reine Joephane Bikouta Ouadika
%A Nissrine Louhab
%A Laila Benjilali
%A Najib Kissani
%J Open Access Library Journal
%V 9
%N 6
%P 1-10
%@ 2333-9721
%D 2022
%I Open Access Library
%R 10.4236/oalib.1108912
%X <b>Background:</b> Neurological, cardiac, and vascular involvement in Beh&ccedil;et disease is very rare with higher mortality. The coexistence of manifestations in the same patient is exceptional. This makes management challenging because of the very high risk of bleeding. <b>Case Summary:</b> We report the case of a 25-year-old man who was admitted with an acute motor deficit in all four limbs. A thoracic angioscan showed a thrombosed aneurysm of the inferior lobar pulmonary arteries bilaterally with an obstructive intraluminal thrombus of a segmental branch of the right higher lobe. Transthoracic echocardiography (TTE) revealed a mobile right atrial thrombus measuring 13 ¡Á 10 mm. The patient was treated with methylprednisolone (1 g), cyclophosphamide, colchicine, and anticoagulation (heparin sodium at curative dose, relayed by antivitamin K). <b>Conclusion:</b> The outcome was satisfactory with complete resolution of the intraventricular thrombus and the aneurysm, and mild neurological sequelae.
%K Neuro-Behcet¡¯s Disease
%K Intracardiac Thrombus
%K Aneurysm
%K Pulmonary Embolism
%U http://www.oalib.com/paper/6775374