Successful Anticoagulation Therapy for Antiphospholipid Syndrome with Mobile Aortic Thrombi
Vascular Specialist International
; : 186-189, 2016.
Article
Dans En
| WPRIM
| ID: wpr-104973
Responsable en Bibliothèque :
WPRO
ABSTRACT
Hypercoagulable states have been associated with aortic thrombosis. Antiphospholipid syndrome (APS) is one of the commonest types of acquired thrombophilia. We report the case of successful anticoagulation management in an APS patient with mobile thrombi within the aorta. A 58-year-old male patient presented to the emergency department (ED) with right-sided hemiparesis. His first symptoms were noted approximately 12–16 hours before presentation to the ED. Magnetic resonance imaging of the brain showed acute embolic infarction of the left frontal and parietotemporal lobes. Transesophageal echocardiography (TEE) and computed tomography angiography (CTA) demonstrated mobile thrombi attached to the wall of the ascending aorta and aortic arch. The patient was diagnosed with APS based on positivity of anti-beta-2 glycoprotein 1 antibodies, and was initiated on anticoagulation therapy. Repeated TEE and CTA revealed complete resolution of the thrombi after 12 days of treatment; the patient was discharged well.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Aorte
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Aorte thoracique
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Parésie
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Thrombose
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Encéphale
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Imagerie par résonance magnétique
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Angiographie
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Glycoprotéines
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Syndrome des anticorps antiphospholipides
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Échocardiographie transoesophagienne
Limites du sujet:
Humans
/
Male
langue:
En
Texte intégral:
Vascular Specialist International
Année:
2016
Type:
Article