Acute myocardial infarction requiring mechanical bridge to transplantation in a patient with undiagnosed anti-phospholipid antibody syndrome.
We present a young man who sustained an acute myocardial infarction with hemodynamic instability requiring placement of a left ventricular assist device and subsequent cardiac transplantation. Hematologic work-up revealed anti-phospholipid antibody syndrome. To our knowledge this is the first reported case of severe acute heart failure due to anti-phospholipid antibody syndrome in which the patient survived through assist device placement and successful transplantation.
Reade
Clifton C
CC
Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. readec@uphs.upenn.edu
Morris
Rohinton J
RJ
Acker
Michael A
MA
Jessup
Mariell
M
Banbury
Michael K
MK
Woo
Y Joseph
YJ
D000328:Adult; D016736:Antiphospholipid Syndrome / Q000150:complications*; D017023:Coronary Angiography; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000209:etiology*; D016896:Treatment Outcome