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KMID : 0368120140440060429
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Korean Circulation Journal
2014 Volume.44 No. 6 p.429 ~ p.433
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Acute ST Elevated Myocardial Injury due to Coronary Thrombosis during Thoracic Endovascular Aortic Repair in Patient with Protein S Deficiency
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Kim Tae-Hoon
Oh Young-Soo
Eom Moon-Yong
Jung Young-Lee
Cho Hyun-A
Choi Woong
Shim Won-Heum
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Abstract
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A 71-year-old woman who had suffered from pulmonary thromboembolism with deep vein thrombosis for 12 years presented the hospital with a huge thoracic aortic aneurysm. During thoracic endovascular therapy, she had a sudden coronary artery occlusion without having organized stenosis or plaque rupture even under the dual antiplatelet treatment and heparinization. She turned out to be having a protein S deficiency. A procedure related thrombotic adverse event in patient with protein S deficiency is very rare, so we report a case with literature review.
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KEYWORD
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Protein S deficiency, Endovascular procedures, Coronary thrombosis, Aortic aneurysm, thoracic
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