Anesthetic management of right atrial mass removal and pulmonary artery thrombectomy in a patient with primary antiphospholipid antibody syndrome.
Antiphospholipid antibody syndrome (APLAS) characterises a clinical condition of arterial and venous thrombosis associated with phospholipids directed antibodies. APLAS occurs in 2% of the general population. However, one study demonstrated that 7.1% of hospitalised patients were tested positive for at least one of the three anticardiolipin antibody idiotype. Antiphospholipid antibodies often inhibit phospholipids dependent coagulation in vitro and interfere with laboratory testing of hemostasis. Therefore, the management of anticoagulation during cardiopulmonary bypass can be quite challenging in these patients. Here, we present a case of right atrial mass removal and pulmonary thrombectomy in a patient of APLAS.
Rawat
S K S
SK
Department of Anaesthesiology, Critical Care and Cardiovascular Surgery, Indraprastha Apollo Hospitals, New Delhi, India.
Mehta
Yatin
Y
Vats
Mayank
M
Mishra
Yugal
Y
Khurana
Poonam
P
Trehan
Naresh
N
D000328:Adult; D000758:Anesthesia / Q000379:methods*; D016736:Antiphospholipid Syndrome / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria; D006801:Humans; D011651:Pulmonary Artery / Q000601:surgery*; D011655:Pulmonary Embolism / Q000601:surgery*; D017131:Thrombectomy