Acute thrombosis of the ascending aorta causing right ventricular failure

first manifestation of antiphospholipid syndrome

Miklós Pólos, Attila Kovács, Endre Németh, B. Merkely

Research output: Contribution to journalArticle

Abstract

Antiphospholipid syndrome is an autoimmune disorder with frequent clinical manifestation of arterial, venous or small vessel thromboembolic events and/or foetal morbidity. Hereby, we present a case report of a patient with a large arterial thrombus originating from the ostium of the right coronary artery accompanied by multiple systemic embolization and right ventricular failure. As a bridge-to-recovery strategy, an extracorporeal right ventricular assist device was successfully applied, representing an effective first choice option in selected patients with isolated acute right heart failure.

Original languageEnglish
Pages (from-to)371-373
Number of pages3
JournalEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
Volume55
Issue number2
DOIs
Publication statusPublished - Feb 1 2019

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Antiphospholipid Syndrome
Aorta
Thrombosis
Heart-Assist Devices
Coronary Vessels
Heart Failure
Morbidity

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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AU - Pólos, Miklós

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AU - Németh, Endre

AU - Merkely, B.

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AB - Antiphospholipid syndrome is an autoimmune disorder with frequent clinical manifestation of arterial, venous or small vessel thromboembolic events and/or foetal morbidity. Hereby, we present a case report of a patient with a large arterial thrombus originating from the ostium of the right coronary artery accompanied by multiple systemic embolization and right ventricular failure. As a bridge-to-recovery strategy, an extracorporeal right ventricular assist device was successfully applied, representing an effective first choice option in selected patients with isolated acute right heart failure.

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