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A Rare Cause of Acute Coronary Syndrome: Catastrophic Antiphospholipid Syndrome

Tatlisu Mustafa Adem, Gürkan Ufuk, Özer Nihat, Aruğaslan Emre, Öz Ahmet, Aydin Berat Arıkan and Kaya Adnan

The antiphospholipid syndrome (APS) is characterized by the occurrence of venous or arterial thrombosis or of specific pregnancy morbidity, in the presence of laboratory evidence of antiphospholipid antibodies. APS was rarely seen in our clinical practice as a cardiologist. In this case, a 26-year-old man was admitted with acute peripheral arterial occlusion and ST-segment elevation myocardial infarction. He was undergone aspiration thrombectomy and right aorta-popliteal bypass surgery. During medical treatment ischemic stroke was determined. Vascular thrombosis affecting more than two organs, distinguishes the case from others. It shows that we should keep in mind APS, when extensive vascular thrombosis are seen in the clinical practice.

Learning objective: Acute coronary syndromes seen in the clinical practice are caused by atherosclerosis more often than not. The antiphospholipid syndrome (APS) is one of a rare cause of acute coronary syndromes. This case is a brief review of the APS.