[Vascular complications in a 51-year-old female with a primary antiphospholipd syndrome--a case report].
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.
Wieteska
Maria
M
Klinika Chorób Wewnetrznych Klatki Piersiowej, Instytut Gruźlicy i Chorób Płuc, ul. Płocka 26, Warszawa. mwiet@poczta.onet.pl
Szturmowicz
Monika
M
Kurzyna
Marcin
M
Hajduk
Bogdan
B
Biederman
Andrzej
A
Torbicki
Adam
A
D015906:Angioplasty, Balloon, Coronary; D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D003937:Diagnosis, Differential; D004691:Endarterectomy; D005260:Female; D006428:Hemipelvectomy; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery