Stanford Type A Aortic Dissection in A Patient with Primary Antiphospholipid Syndrome and Coronavirus Disease 2019

Author:

Ahmad Sarah A.1,Khalid Nauman2ORCID,Chhabra Lovely3ORCID,Kayani Waleed T.4,Helmy Tarek5

Affiliation:

1. Section of Cardiothoracic Surgery, Saint Francis Medical Center, Monroe, Louisiana

2. Section of Interventional Cardiology, Saint Francis Medical Center, Monroe, Louisiana

3. Section of Cardiology, Westchester Medical Center Network Advanced Physician Services, New York, New York

4. Section of Interventional Cardiology, Baylor College of Medicine, Houston, Texas

5. Section of Interventional Cardiology, Louisiana State University Health Shreveport, Louisiana

Abstract

AbstractAcute aortic dissection is one of the most lethal diseases, affecting the lining of the aortic wall. We describe a case of Stanford Type A aortic dissection in a patient with underlying primary antiphospholipid syndrome (APS) complicated by coronavirus disease 2019 (COVID-19). APS is characterized by recurrent venous and/or arterial thrombosis, thrombocytopenia, and rarely vascular aneurysms. The hypercoagulable milieu attributable to APS and the prothrombotic state from COVID-19 posed a challenge in achieving optimal postoperative anticoagulation in our patient.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,Surgery

Reference6 articles.

1. Coexistence of the antiphospholipid syndrome and abdominal aortic aneurysm;M Szyper-Kravitz;Isr Med Assoc J,2008

2. Rare association of antiphospholipid antibody syndrome, systemic lupus erythematosus and aortic dissection: a striking presentation with multi-organ failure?;F Ulutaş;Eur J Case Rep Intern Med,2020

3. COVID-19 (SARS-CoV-2) and the heart—an ominous association;N Khalid;Cardiovasc Revasc Med,2020

4. Acute aortic dissection surgery in patient with Covid-19;A Akgul;Ann Thorac Surg,2021

5. Acute type a aortic dissection during the COVID-19 outbreak;S Fukuhara;Ann Thorac Surg,2020

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