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Coronary thrombosis associated with inherited protein S deficiency: a case report

S Beattie1, M Norton, D Doll

  • 1Department of Cardiology, Harry S. Truman Memorial VA Hospital, Columbia, MO 65201, USA.

Insights

Protein S deficiency (PSD) can increase the risk of blood clots, like deep vein thrombosis. This case highlights a young man with PSD experiencing acute myocardial infarction due to coronary thrombosis.

Area of Science:

  • Cardiovascular Medicine
  • Hematology

Background:

  • Protein S deficiency (PSD) is a known risk factor for thrombotic events.
  • Venous thrombosis, both superficial and deep, are commonly associated with PSD.

Observation:

  • A young male patient presented with symptoms suggestive of an acute cardiac event.
  • Diagnostic workup revealed the patient had Protein S deficiency.

Findings:

  • The patient experienced acute myocardial infarction (heart attack).
  • The myocardial infarction was caused by thrombosis within the coronary arteries.
  • This coronary thrombosis was linked to the patient's underlying Protein S deficiency.

Implications:

  • This case underscores that Protein S deficiency can manifest as arterial thrombosis, specifically coronary thrombosis.
  • It highlights the importance of considering PSD in young individuals presenting with myocardial infarction.
  • Further research may explore the spectrum of thrombotic events associated with PSD.

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