Antiphospholipid syndrome combined with acute coronary syndrome: Case report
Yuan Shan1, Ping Wang, JingHua Liu
1Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Insights
Antiphospholipid syndrome (APS) with acute coronary syndrome (ACS) is rare. Percutaneous coronary intervention using a NeoVas scaffold proved effective and safe for secondary prevention in an APS patient.
Area of Science:
- Cardiology
- Immunology
Background:
- Antiphospholipid syndrome (APS) rarely co-occurs with acute coronary syndrome (ACS).
- This case highlights a unique clinical presentation of APS and ACS.
Observation:
- A male patient with APS presented with recent unstable angina (UA).
- Diagnosis included ACS and UA (BraunwaldiB).
Findings:
- The patient underwent percutaneous coronary intervention (PCI) with NeoVas Bioresorbable Coronary Scaffold implantation.
- Follow-up at 6 months, 1 year, and 2 years showed no recurrent UA episodes.
Implications:
- Percutaneous coronary intervention is effective for managing ACS in APS patients.
- NeoVas scaffold implantation appears safe for this population, suggesting a viable treatment option.
Rationale:
Antiphospholipid syndrome (APS) combined with acute coronary syndrome (ACS) is rarely reported.
Patient Concerns:
One male patient with APS was admitted to our hospital, who had recent unstable angina (UA).
Diagnosis:
The preliminary diagnosis of ACS and UA (BraunwaldiB) was then made.
Interventions:
This patient received secondary preventative therapy for coronary heart disease (CHD) in combination with percutaneous transluminal coronary angioplasty (PTCA) and implantation of NeoVas Bioresorbable Coronary Scaffold.
Outcomes:
The patient was followed up, without new UA episodes were observed at 6 months, 1 year, and 2 year after surgery, respectively.
Lessons:
It was thus concluded that percutaneous coronary intervention (PCI) is effective for APS patients and NeoVas scaffold implantation is presumed safe.
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