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Acute thrombosis of the ascending aorta causing right ventricular failure: first manifestation of antiphospholipid
Miklós Pólos1, Attila Kovács1, Endre Németh2
1Heart and Vascular Center, Semmelweis University, Budapest, Hungary.
Abstract:
Antiphospholipid syndrome is an autoimmune disorder with frequent clinical manifestation of arterial, venous or small vessel thromboembolic events and/or foetal morbidity. Hereby, we present a case report of a patient with a large arterial thrombus originating from the ostium of the right coronary artery accompanied by multiple systemic embolization and right ventricular failure. As a bridge-to-recovery strategy, an extracorporeal right ventricular assist device was successfully applied, representing an effective first choice option in selected patients with isolated acute right heart failure.
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