Right Ventricular Thrombus: A Rare Complication of Ovarian Hyperstimulation Syndrome

Mahmood Zamirian; Alireza  Moaref; Seyed Hosein  Alavi; Khalil Zarrabi

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Right Ventricular Thrombus: A Rare Complication of Ovarian Hyperstimulation Syndrome

Author(s):

Mahmood Zamirian^1,*,

Alireza Moaref¹,

Seyed Hosein Alavi¹,

Khalil Zarrabi¹

1Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

International Cardiovascular Research Journal:Vol. 6, issue 4; e12791

Published online:Dec 31, 2012

Article type:Case Report

Received:May 09, 2017

Accepted:Dec 03, 2012

How to Cite:Mahmood ZamirianAlireza MoarefSeyed Hosein AlaviKhalil ZarrabiRight Ventricular Thrombus: A Rare Complication of Ovarian Hyperstimulation Syndrome.Int Cardiovasc Res J.6(4):e12791.

Abstract

A 22 years old lady was admitted because of progressive dyspnea, severe abdominal
protrusion and lower extremity edema. She had undergone ovarian hyperstimulation
for primary infertility by Clomiphen and Human chorionic gonadotropin for 3 months.
Abdominopelvic ultrasonography revealed bilateral enlarged multi cystic ovaries and massive
ascites. Transesophageal echocardiography revealed a large thrombus in right ventrice apex.
Spiral chest CT scan showed normal pulmonary vasculature with no evidence of pulmonary
thromboembolism. Heparin was started and repeat echocardiographic study showed gradual
disappearance of right ventricular thrombus. Human chorionic gonadotropin is the most
important substance which leads to capillary leakage and fluid accumulation in third space.
Fluid shift and hypovolemia may cause hypotension, hemoconcentration and formation of
vascular thrombus.

Keywords

Ovarian Hyperstimulation

Thrombosis

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