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Antiphospholipid syndrome and valvular heart disease, a complex scenario of thrombotic events, a case report.
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ABSTRACT: Background
Antiphospholipid syndrome (APS) is a rare coagulation disorder associated with thrombotic events, myocardial infarction, and valvular heart disease. During valvular replacement surgery, the high risk of thrombosis combined with the operative risks in these specific groups of patients poses a challenge to the medical team.Case presentation
We present a case of a female patient with APS and mixed aortic valve disease. During surgery, she suddenly developed complete cardiac arrest. Three months later, after she recovered, and while she was still on close follow up, a thrombotic event caused myocardial infarction. After prompt and precise treatment, the patient successfully recovered; one year after surgery patient is doing well.Conclusion
Adequate surgical technique along with optimal anticoagulation strategies and long term follow up are of paramount importance to ensure an uneventful recovery. A multidisciplinary team is required to manage these complex scenarios and high-risk patients.
SUBMITTER: Endara SA
PROVIDER: S-EPMC7526220 | biostudies-literature | 2020 Sep
REPOSITORIES: biostudies-literature
Publications
Antiphospholipid syndrome and valvular heart disease, a complex scenario of thrombotic events, a case report.
Journal of cardiothoracic surgery 20200929 1
<h4>Background</h4>Antiphospholipid syndrome (APS) is a rare coagulation disorder associated with thrombotic events, myocardial infarction, and valvular heart disease. During valvular replacement surgery, the high risk of thrombosis combined with the operative risks in these specific groups of patients poses a challenge to the medical team.<h4>Case presentation</h4>We present a case of a female patient with APS and mixed aortic valve disease. During surgery, she suddenly developed complete cardi ...[more]