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Case Reports
. 2023 Aug 16:20:101939.
doi: 10.1016/j.jaccas.2023.101939.

Diffuse LAD and LV Thrombus as Possible Manifestation of Protein-S Deficiency in a Young Patient

Konstantinos Kalogeras  1 , Stella-Maria Kyvelou  1 , Nikolaos Vythoulkas-Biotis  1 , Theodoros Pesiridis  1 , Georgia Vogiatzi  1 , Efstratios Katsianos  1 , Michael Andrew Vavuranakis  2 , Evangelos Oikonomou  1 , Gerasimos Siasos  1 , Manolis Vavuranakis  1
Affiliations
Case Reports

Diffuse LAD and LV Thrombus as Possible Manifestation of Protein-S Deficiency in a Young Patient

Konstantinos Kalogeras et al. JACC Case Rep. .

Abstract

Patients with inherited hypercoagulopathies such as protein-S deficiency commonly present with venous thrombosis. However, there are rare cases of arterial thrombosis. We describe a rare case of a diffuse left anterior descending and left ventricular thrombus in a young patient with protein-S deficiency complicated with mid cerebral artery occlusion. (Level of Difficulty: Intermediate.).

Keywords: hypercoagulopathy; myocardial infarction; protein-S deficiency; thrombus; tirofiban.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Electrocardiogram at Baseline ST-segment elevation.
Figure 2
Figure 2
Point-of-Care Transthoracic Echocardiogram Images 4- and 2-chamber views indicate left ventricular apical thrombus (red arrows).
Figure 3
Figure 3
Emergency Angiogram
Figure 4
Figure 4
Intravascular Ultrasound
Figure 5
Figure 5
Final Result Minimal flow restoration.
Figure 6
Figure 6
Repeated Angiogram Day 2
Figure 7
Figure 7
Electrocardiogram at Discharge
See this image and copyright information in PMC

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