ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Antiphospholipid antibody syndrome leading to massive pulmonary embolism and sudden death [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2008; 36(7): 467-469

Antiphospholipid antibody syndrome leading to massive pulmonary embolism and sudden death

Fuat Gündoğdu1, Yahya Ünlü2, Nezihi Barış3, Şakir Arslan1
1Department of Cardiology, Ataturk University, Erzurum, Turkey
2Department of Cardiovascular Surgery, Ataturk University, Erzurum, Turkey
3Department of Cardiology, Dokuz Eylul University, İzmir, Turkey

Antiphospholipid antibody syndrome is associated with venous and arterial thromboembolism. Coexistence of pulmonary embolism and intracardiac thrombus is rarely encountered. A 33-year-old male patient presented with severe dyspnea three months after surgery for acute arterial embolism. On physical examination, blood pressure was 80/60 mmHg and breath sounds were weaker in the lower zone of the left lung. Severe lower limb edema was noted. On cardiac auscultation, the third heart sound was elicited. Electrocardiography showed only a sinusal tachycardia. Transthoracic echocardiography revealed a huge thrombus in the right atrium and another thrombus in the main pulmonary artery. Hematological analysis showed a high titration of antiphospholipid antibodies. A diagnosis of massive pulmonary embolism was considered. During preparation for emergency operation, the patient developed cardiovascular collapse, which did not respond to cardiopulmonary resuscitation.

Keywords: Antiphospholipid syndrome/complications, echocardiography, pulmonary embolism/etiology, venous thrombosis/etiology

How to cite this article
Fuat Gündoğdu, Yahya Ünlü, Nezihi Barış, Şakir Arslan. Antiphospholipid antibody syndrome leading to massive pulmonary embolism and sudden death. Turk Kardiyol Dern Ars. 2008; 36(7): 467-469

Corresponding Author: Fuat Gündoğdu, Türkiye
Manuscript Language: English


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