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Vol 65, No 1 (2007)
Other
Published online: 2007-01-25
Submitted: 2012-12-28
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Case report
Vascular complications in a 51-year-old female with a primary antiphospholipd syndrome – a case report

Maria Wieteska, Monika Szturmowicz, Marcin Kurzyna, Bogdan Hajduk, Andrzej Biederman, Adam Torbicki
Kardiol Pol 2007;65(1):50-53.

open access

Vol 65, No 1 (2007)
Other
Published online: 2007-01-25
Submitted: 2012-12-28

Abstract

A 51-year-old woman with antiphospholipid syndrome was readmitted to the hospital two years after successful surgical pulmonary thrombendarteriectomy for severe chronic thromboembolic pulmonary hypertension (CTEPH). Exertional dyspnea, chest pain and ECG pattern could suggest relapse of pulmonary thromboembolism. However, no signs of pulmonary hypertension were found at echocardiography. Coronary angiography revealed proximal critical occlusion in the left anterior descending artery which was successfully treated with PTCA and stenting. Coronary artery disease may mimic relapse of CTEPH and this should be remembered especially in patients with antiphospholipid syndrome, who have increased risk of coronary artery disease especially in the presence of other classical risk factors.

Abstract

A 51-year-old woman with antiphospholipid syndrome was readmitted to the hospital two years after successful surgical pulmonary thrombendarteriectomy for severe chronic thromboembolic pulmonary hypertension (CTEPH). Exertional dyspnea, chest pain and ECG pattern could suggest relapse of pulmonary thromboembolism. However, no signs of pulmonary hypertension were found at echocardiography. Coronary angiography revealed proximal critical occlusion in the left anterior descending artery which was successfully treated with PTCA and stenting. Coronary artery disease may mimic relapse of CTEPH and this should be remembered especially in patients with antiphospholipid syndrome, who have increased risk of coronary artery disease especially in the presence of other classical risk factors.

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Keywords

antiphospholipid syndrome (APS); chronic thromboembolic pulmonary hypertension (CTEPH); pulmonary thromboendarterectomy

About this article
Title

Case report
Vascular complications in a 51-year-old female with a primary antiphospholipd syndrome – a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 1 (2007)

Pages

50-53

Published online

2007-01-25

Bibliographic record

Kardiol Pol 2007;65(1):50-53.

Keywords

antiphospholipid syndrome (APS)
chronic thromboembolic pulmonary hypertension (CTEPH)
pulmonary thromboendarterectomy

Authors

Maria Wieteska
Monika Szturmowicz
Marcin Kurzyna
Bogdan Hajduk
Andrzej Biederman
Adam Torbicki

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