[HSF] Antiphospholipid Syndrome

[Tohru Asai]

Hal
I had a similar CT picture ( RA lumen occlusion by laminated clot like
tissue ) in young Japanese male patient a few years ago. I was about to
operate. The mass by trans-catheter biopsy turned out to be cardiac
malignant lymphoma. It dramatically responded to IV chemotherapy and
disappeared. I did not have to operate on him.

My case may have nothing to do with yours. But I would recommend biopsy of
the mass by catheter. Since it shows unusual growth. By the way, why did you
know the mass was clot?
-- 
Tohru Asai

> I  might consider a transjugular
> biopsy. If possible, I think the  clot needs to be removed and a maze carried
> out. 
>  However, I'm unsure  how to handle the perioperative anticoagulation.