Acute ST Elevated Myocardial Injury due to Coronary Thrombosis during Thoracic Endovascular Aortic Repair in Patient with Protein S Deficiency.
10.4070/kcj.2014.44.6.429
- Author:
Tae Hoon KIM
1
;
Young Soo OH
;
Moon Yong EOM
;
Young Lee JUNG
;
Hyun A CHO
;
Woong CHOI
;
Won Heum SHIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. whshim@yuhs.ac
- Publication Type:Case Report
- Keywords:
Protein S deficiency;
Endovascular procedures;
Coronary thrombosis;
Aortic aneurysm, thoracic
- MeSH:
Aged;
Aortic Aneurysm, Thoracic;
Constriction, Pathologic;
Coronary Thrombosis*;
Coronary Vessels;
Endovascular Procedures;
Female;
Heparin;
Humans;
Protein S Deficiency*;
Pulmonary Embolism;
Rupture;
Venous Thrombosis
- From:Korean Circulation Journal
2014;44(6):429-433
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 71-year-old woman who had suffered from pulmonary thromboembolism with deep vein thrombosis for 12 years presented the hospital with a huge thoracic aortic aneurysm. During thoracic endovascular therapy, she had a sudden coronary artery occlusion without having organized stenosis or plaque rupture even under the dual antiplatelet treatment and heparinization. She turned out to be having a protein S deficiency. A procedure related thrombotic adverse event in patient with protein S deficiency is very rare, so we report a case with literature review.