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International Cardiovascular Research Journal
The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences
e-ISSN 2251-9149
p-ISSN 2251-9130
Outline
Right Ventricular Thrombus: A Rare Complication of Ovarian Hyperstimulation Syndrome
Authors
1Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
*Corresponding Author: Corresponding author: Mahmood Zamirian, Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Email: [email protected]
Published online:Dec 31, 2012
Article type:Case Report
Received:May 09, 2017
Accepted:Dec 03, 2012
How to Cite:Zamirian M, Moaref A, Alavi SH, Zarrabi K. Right Ventricular Thrombus: A Rare Complication of Ovarian Hyperstimulation Syndrome. Int Cardiovasc Res J. 2017;6(4):e12791. doi:
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.
References
- 1.The references are available in PDF.
Copyright
© 2017, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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