Examinando por Autor "Bermeo Pacheco, Paúl Humberto"
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- ÍtemSolo MetadatosMixoma de ventrículo derecho simulando un trombo en una paciente con lupus eritematoso y síndrome antifosfolípido. Claves para un correcto diagnóstico y tratamiento(Universidad Católica de Cuenca., 2023) Bermeo Pacheco, Paúl Humberto; Coyago Íñiguez, Juan Antonio; 0302017686We report the case of a 20-year-old female patient with systemic lupus erythematosus (SLE) associated with antiphospholipid syndrome (APS) in whom, by means of a transthoracic echocardiogram for thrombus clearance within the cardiocirculatory system, an echodense mass was found in the right ventricular cavity. By means of a transthoracic echogram the mass could be better delimited, leading to the diagnosis suspicion of a myxoma and not a thrombus as initially thought. A ventriculotomy was performed with resection of the tumor, which, according to histopathological analysis, corresponded to a myxoma. This case highlights the crucial importance of performing routine echocardiographic evaluations in patients with concomitant SLE and APS. In this context, transesophageal echogram allows a better delineation of the mass and may establish the indication for ventriculotomy.