Cardiovascular Surgical Outcomes in Patients with the Antiphospholipid Syndrome—A Case-Series

Trombo biventricular e fibrose endomiocárdica na síndrome antifosfolípide

“…In relation to arteries, the carotid arteries are the main affected vessels and their thrombi may develop into a stroke. The main cardiac manifestations found in this syndrome are valvular diseases and CAD, representing two thirds of cases 4 .…”

“…The cardiac alterations are frequently observed, especially valvular heart disease (thickening and vegetations) and coronary artery disease (CAD) [2][3][4] ; the presence of thrombi has been also reported 5 . However, myocardial involvement is rarely described in this pathology 6 .…”

Antiphospholipid syndrome and the heart: A case series and literature review

“…If coronary artery bypass grafting becomes necessary, the risks of post-operative clinical events [32,71], should be weighed against the benefits of the intervention. The perioperative management of these patients is tricky and there is no optimal method for assuring adequate perioperative anticoagulation that should be kept to an absolute minimum [25,32].…”

Postoperative Risk of Venous Thromboembolism in Rheumatic Disease Patients

“…In a small case series of APS patients undergoing cardiovascular surgery, 37.5 % developed VTE [48]. Surgery can also serve as a trigger for catastrophic APS, a condition in which thrombosis rapidly affects multiple organs [49].…”