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Anesthetic management of right atrial mass removal and pulmonary artery thrombectomy in a patient with primary antiphospholipid antibody syndrome


1 Department of Anaesthesiology, Critical Care and Cardiovascular Surgery, Indraprastha Apollo Hospitals, New Delhi, India
2 Department of Cardiac Surgery and Radiology, Escorts Heart Institute and Research Centre, New Delhi, India

Correspondence Address:
Yatin Mehta
Department of Cardiac Anesthesia and Critical Care, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi - 110 076
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.58833

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Year : 2010  |  Volume : 13  |  Issue : 1  |  Page : 39-43

 

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Antiphospholipid antibody syndrome (APLAS) characterises a clinical condition of arterial and venous thrombosis associated with phospholipids directed antibodies. APLAS occurs in 2% of the general population. However, one study demonstrated that 7.1% of hospitalised patients were tested positive for at least one of the three anticardiolipin antibody idiotype. Antiphospholipid antibodies often inhibit phospholipids dependent coagulation in vitro and interfere with laboratory testing of hemostasis. Therefore, the management of anticoagulation during cardiopulmonary bypass can be quite challenging in these patients. Here, we present a case of right atrial mass removal and pulmonary thrombectomy in a patient of APLAS.






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1 Department of Anaesthesiology, Critical Care and Cardiovascular Surgery, Indraprastha Apollo Hospitals, New Delhi, India
2 Department of Cardiac Surgery and Radiology, Escorts Heart Institute and Research Centre, New Delhi, India

Correspondence Address:
Yatin Mehta
Department of Cardiac Anesthesia and Critical Care, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi - 110 076
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.58833

Rights and Permissions

Antiphospholipid antibody syndrome (APLAS) characterises a clinical condition of arterial and venous thrombosis associated with phospholipids directed antibodies. APLAS occurs in 2% of the general population. However, one study demonstrated that 7.1% of hospitalised patients were tested positive for at least one of the three anticardiolipin antibody idiotype. Antiphospholipid antibodies often inhibit phospholipids dependent coagulation in vitro and interfere with laboratory testing of hemostasis. Therefore, the management of anticoagulation during cardiopulmonary bypass can be quite challenging in these patients. Here, we present a case of right atrial mass removal and pulmonary thrombectomy in a patient of APLAS.






[FULL TEXT] [PDF]*


        
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