title: Acute ST Elevated Myocardial Injury due to Coronary Thrombosis during Thoracic Endovascular Aortic Repair in Patient with Protein S Deficiency.
abstract: A 71-year-old woman who had suffered from pulmonary thromboembolism with deep vein thrombosis for 12 years presented the hospital with a huge thoracic aortic aneurysm. During thoracic endovascular therapy, she had a sudden coronary artery occlusion without having organized stenosis or plaque rupture even under the dual antiplatelet treatment and heparinization. She turned out to be having a protein S deficiency. A procedure related thrombotic adverse event in patient with protein S deficiency is very rare, so we report a case with literature review.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.
authors.forename: Tae-Hoon
authors.initials: TH
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.
authors.forename: Young-Soo
authors.initials: YS
authors.lastname: Oh
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.
authors.forename: Moon-Yong
authors.initials: MY
authors.lastname: Eom
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.
authors.forename: Young-Lee
authors.initials: YL
authors.lastname: Jung
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.
authors.forename: Hyun-A
authors.initials: HA
authors.lastname: Cho
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.
authors.forename: Woong
authors.initials: W
authors.lastname: Choi
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.
authors.forename: Won-Heum
authors.initials: WH
authors.lastname: Shim
keywords: Aortic aneurysm, thoracic; Coronary thrombosis; Endovascular procedures; Protein S deficiency