[HSF] Antiphospholipid Syndrome

[hgrmd at aol.com]

Tohru,
  If you reread my post, you'll know that I have the same exact concerns.  A malignancy is certainly in the differential.  My plan is to get a fast cardiac MR to further characterize the mass.  In addition, I will likely get a transcatheter biopsy.  All in all, however, I think a man with a known phospholipid deficiency, history of DVT, and ischemic toes is much more likely to have clot rather than tumor.  
  Tohru, if it is clot, would you operate?  
Hal
 
 
-----Original Message-----
From: toruasai at belle.shiga-med.ac.jp
To: OpenHeart-L at lists.hsforum.com
Sent: Wed, 17 Jan 2007 9:03 AM
Subject: Re: [HSF] Antiphospholipid Syndrome


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.  


_______________________________________________
OpenHeart-L mailing list

Send postings to:
 OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and 
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------
________________________________________________________________________
Check out the new AOL.  Most comprehensive set of free safety and security tools, free access to millions of high-quality videos from across the web, free AOL Mail and more.