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http://dx.doi.org/10.4070/kcj.2014.44.6.429

Acute ST Elevated Myocardial Injury due to Coronary Thrombosis during Thoracic Endovascular Aortic Repair in Patient with Protein S Deficiency  

Kim, Tae-Hoon (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital)
Oh, Young-Soo (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital)
Eom, Moon-Yong (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital)
Jung, Young-Lee (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital)
Cho, Hyun-A (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital)
Choi, Woong (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital)
Shim, Won-Heum (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital)
Publication Information
Korean Circulation Journal / v.44, no.6, 2014 , pp. 429-433 More about this Journal
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.
Keywords
Protein S deficiency; Endovascular procedures; Coronary thrombosis; Aortic aneurysm, thoracic;
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1 Walsh SR, Tang TY, Sadat U, et al. Endovascular stenting versus open surgery for thoracic aortic disease: systematic review and meta-analysis of perioperative results. J Vasc Surg 2008;47:1094-8.   DOI   ScienceOn
2 Desai ND, Burtch K, Moser W, et al. Long-term comparison of thoracic endovascular aortic repair (TEVAR) to open surgery for the treatment of thoracic aortic aneurysms. J Thorac Cardiovasc Surg 2012;144: 604-9; discussion 609-11.   DOI
3 Mateo J, Oliver A, Borrell M, Sala N, Fontcuberta J. Laboratory evaluation and clinical characteristics of 2,132 consecutive unselected patients with venous thromboembolism--results of the Spanish Multicentric Study on Thrombophilia (EMET-Study). Thromb Haemost 1997; 77:444-51.
4 Allaart CF, Aronson DC, Ruys T, et al. Hereditary protein S deficiency in young adults with arterial occlusive disease. Thromb Haemost 1990;64:206-10.
5 Douay X, Lucas C, Caron C, Goudemand J, Leys D. Antithrombin, protein C and protein S levels in 127 consecutive young adults with ischemic stroke. Acta Neurol Scand 1998;98:124-7.   DOI   ScienceOn
6 Lee WA, Brown MP, Nelson PR, Huber TS. Total percutaneous access for endovascular aortic aneurysm repair ("Preclose" technique). J Vasc Surg 2007;45:1095-101.   DOI   ScienceOn
7 Sukhija R, Aronow WS, Yalamanchili K, Sinha N, Babu S. Prevalence of coronary artery disease, lower extremity peripheral arterial disease, and cerebrovascular disease in 110 men with an abdominal aortic aneurysm. Am J Cardiol 2004;94:1358-9.   DOI
8 Bub GL, Greenberg RK, Mastracci TM, et al. Perioperative cardiac events in endovascular repair of complex aortic aneurysms and association with preoperative studies. J Vasc Surg 2011;53:21-7.e1-2.   DOI
9 Wang GJ, Fairman RM, Jackson BM, Szeto WY, Pochettino A, Woo EY. The outcome of thoracic endovascular aortic repair (TEVAR) in patients with renal insufficiency. J Vasc Surg 2009;49:42-6.   DOI
10 Engesser L, Broekmans AW, Briët E, Brommer EJ, Bertina RM. Hereditary protein S deficiency: clinical manifestations. Ann Intern Med 1987;106:677-82.   DOI   ScienceOn
11 Munts AG, van Genderen PJ, Dippel DW, van Kooten F, Koudstaal PJ. Coagulation disorders in young adults with acute cerebral ischaemia. J Neurol 1998;245:21-5.
12 Beattie S, Norton M, Doll D. Coronary thrombosis associated with inherited protein S deficiency: a case report. Heart Lung 1997;26:76-9.   DOI
13 Carrie D, Beard T, Sie P, Boudjemaa B, Delay M, Bernadet P. [Simultaneous thrombosis of the left anterior interventricular and right coronary arteries in a 27 year-old patient with protein S deficiency]. Arch Mal Coeur Vaiss 1993;86:921-4.
14 Manzar KJ, Padder FA, Conrad AR, Freeman I, Jonas EA. Acute myocardial infarction with normal coronary artery: a case report and review of literature. Am J Med Sci 1997;314:342-5.   DOI
15 Schwarz HP, Fischer M, Hopmeier P, Batard MA, Griffin JH. Plasma protein S deficiency in familial thrombotic disease. Blood 1984;64:1297-300.