LEFT-VENTRICULAR THROMBOSIS COMPLICATING SYSTEMIC LUPUS-ERYTHEMATOSUS

The authors report an isolated pediculated thrombus in the left ventri cle of a young 14 year old girl with systemic lupus erythematosus with antiphospholipid antibodies without any other cardiovascular abnormal ity, especially ventricular wall motion abnormalities. After surgical ablation of the thrombus, the patient was followed up to avoid recurre nce. This type of cardiac lesion (ventricular thrombosis without under lying myocardial disease) is exceptionally rare. Echocardiographic fol low-up after surgical ablation showed no recurrence of thrombosis afte r four years.