[HSF] Antiphospholipid Syndrome

[Nasser F. Abou'Seada]

Good question Hal !!!

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of hgrmd at aol.com
> Sent: Wednesday, January 17, 2007 9:51 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Antiphospholipid Syndrome
> 
> 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.
> 
> 
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