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

• Authors: DS Villacis-Nunez, Emory University; Zachary West, Children’s Healthcare of Atlanta; Adil Y. Khan, Children’s Healthcare of Atlanta; Fred H. Rodriguez III, Emory University; Andi L Shane, Emory University; Heather Rytting, Emory University; Subhadra Shashidharan, Emory University; Matthew Clifton, Emory University; Gary Woods, Emory University; Martha Clabby, Emory University; Sampath Prahalad, Emory University
• Journal Title: Journal of Investigative Medicine High Impact Case Reports
• Volume: Volume 11
• Publisher: SAGE | 2023-01-01, Pages 23247096231166672-23247096231166672
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1177/23247096231166672
• Subjects: Health Sciences, Medicine and Surgery
• Keywords: Hughes-Stovin syndrome; cardiac mass; pulmonary aneurysm; Male; Humans; Adolescent; Aneurysm, False; Syndrome; Pulmonary Artery; Aneurysm; Vasculitis; Thrombosis

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.