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European Journal of Cardio-Thoracic Surgery, Vol 5, 386-387, Copyright © 1991 by European Association for Cardio-thoracic Surgery

ARTICLES

An unusual presentation of systemic lupus erythematosus

R Uppal, MN Sheppard and P Magee
Department of Cardiothoracic Surgery, London Chest Hospital, UK.

A case of right hemiparesis in a 22-year-old, caucasian male is presented. Echocardiography and an indirect left ventriculogram revealed a mass in the left ventricle which was eventually removed at surgery. Histology of the ventricular wall revealed thrombus superimposed on a full thickness myocardial infarction with florid intimal proliferation of small arteries. This histological picture suggested a diagnosis of systemic lupus erythematosus. Serum immunology revealed raised antibody titres in keeping with systemic lupus erythematosus. This is an unusual presentation where the only manifestation of disease was hemiparesis secondary to an embolic episode, from thrombus in the left ventricle subsequent to a small localised myocardial infarct.




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Copyright © 1991 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.