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CC BY-NC-ND 4.0 · Aorta (Stamford) 2023; 11(01): 047-049
DOI: 10.1055/s-0042-1757952
Case Report

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

Sarah A. Ahmad
1   Section of Cardiothoracic Surgery, Saint Francis Medical Center, Monroe, Louisiana
,
Nauman Khalid 
2   Section of Interventional Cardiology, Saint Francis Medical Center, Monroe, Louisiana
,
Lovely Chhabra 
3   Section of Cardiology, Westchester Medical Center Network Advanced Physician Services, New York, New York
,
Waleed T. Kayani
4   Section of Interventional Cardiology, Baylor College of Medicine, Houston, Texas
,
Tarek Helmy
5   Section of Interventional Cardiology, Louisiana State University Health Shreveport, Louisiana
› Author Affiliations Funding None.
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Abstract

Acute 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.

Keywords

aortic dissection - Stanford Type A - primary antiphospholipid syndrome - COVID-19


Publication History

Received: 20 January 2021

Accepted: 11 July 2022

Article published online:
27 February 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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