PP-019 PERCUTANEOUS CLOSURE OF SECOND ATRIAL SEPTAL DEFECT GUIDED BY THREE-DIMENSIONAL TRANSESOPHAGEAL ECHOCARDIOGRAPHY

Abstract

Systemic lupus erythematosus (SLE) is an inflammatory disease characterized by deposition of autoantibodies and pathogenic immune complexes in the cells and tissues of an organism, causing lesions. The heart is one of the most frequently involved organ. The involvement of heart has great clinical importance and associated with the presence of a specific autoantibody, the antiphospholipid antibody (aPL). In these circumstances, major complications may occur such as arterial or venous thrombosis, thrombocytopenia. A 42 year old woman with history of sle admitted our hospital with complaints of dyspne and palpitation for three months. Physical examination revealed a blood pressure of 110/70mmHg, heart rate of 80 bpm and sinus rhythm was detected in ECG. Heart sounds were regular and 3\6 systolic murrmur was noted on mitral area. There were bibasillary ralls on lungs. Two-dimensional transthoracic echocardiography revealed a normal left ventricular dimensions and there were no wall motion abnormalities. Moderate mitral, tricuspid regurgitation was detected and estimated peak systolic pulmonary artery pressure of 42mmHg. A large, polypoid mass (3.0×1.2 cm) was seen attached to the outflow tract of the left ventricle causing obstruction which suggested a primary cardiac tumor (Figures 1, 2).