Successful Medical-Surgical Management of Intracardiac Thrombosis and Pulmonary Pseudoaneurysms in an Adolescent With Hughes-Stovin Syndrome

Author:

Villacis-Nunez D. Sofia12ORCID,West Zachary23,Khan Adil Y.23,Rodriguez Fred24,Shane Andi L.25,Rytting Heather6,Shashidharan Subhadra27,Clifton Matthew S.28,Woods Gary29,Clabby Martha24,Prahalad Sampath1210

Affiliation:

1. Division of Pediatric Rheumatology, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA

2. Children’s Healthcare of Atlanta, Atlanta, GA, USA

3. Division of Pediatric Hospital Medicine, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA

4. Sibley Heart Center, Atlanta, GA, USA

5. Division of Pediatric Infectious Diseases, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA

6. Department of Pathology, Children’s Healthcare of Atlanta, Atlanta, GA, USA

7. Department of Congenital Cardiac Surgery, Emory University School of Medicine, Atlanta, GA, USA

8. Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA

9. Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA

10. Department of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA

Abstract

We present an adolescent male with a single intracardiac mass and pulmonary emboli, complicated by peripheral venous thrombosis and subsequent development of pulmonary pseudoaneurysms, leading to diagnosis of Hughes-Stovin syndrome. Remission was achieved with cyclophosphamide, corticosteroids, and pseudoaneurysm resection and maintained with infliximab and methotrexate.

Publisher

SAGE Publications

Subject

Safety Research,Safety, Risk, Reliability and Quality,Epidemiology

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