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Vol. 32. Issue 4.
Pages 171-174 (July - August 2020)
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Vol. 32. Issue 4.
Pages 171-174 (July - August 2020)
Clinical report
DOI: 10.1016/j.artere.2020.07.004
Simultaneous intracoronary, intracardiac, and pulmonary venous thrombosis
Trombosis coronaria, intracardiaca y embolia pulmonar simultánea
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Rafael Ruiz-Gaviriaa,
Corresponding author
rafael.ruiz@ascension.org

Corresponding author.
, Timothy Vettiyanickal Josephb, Kalla Abhishekc
a Medicine, Saint Agnes Hospital, Baltimore, MD, USA
b Ross University School of Medicine, Bridgetown, Barbados
c Hematology/Oncology, Saint Agnes Hospital, Baltimore, MD, USA
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Abstract

Arterial and venous thromboses are very prevalent diseases and it has been discovered that they share some common pathways, but their presentation in young patients is rare and should raise concern for thrombophilia. Therefore, the case is presented of a 34 year-old female with no prior pertinent history and with no predisposing factors. She was diagnosed with a pulmonary embolism, with an incidental finding of a left ventricular thrombus. A coronary artery thrombosis was also found. The patient met the criteria for a thrombophilia work-up, but the authors would like to express their concern on whether these tests are truly necessary, as they would not have change the patient management.

Keywords:
Thrombosis
Thrombophilia testing
Anticoagulation
Arterial thrombosis
Resumen

La trombosis arterial y la trombosis venosa son enfermedades altamente prevalentes, y se ha visto que comparten algunas vías en su formación. Sin embargo, su presentación en pacientes jóvenes es rara y debe generar sospechas por trombofilias. Por esto queremos describir el caso de una mujer de 34años sin antecedentes clínicos pertinentes y sin factores predisponentes que fue diagnosticada de tromboembolismo pulmonar y con hallazgo incidental de un trombo en el ventrículo izquierdo y trombosis de la arteria coronaria. La paciente cumplía criterios para realizar estudios de trombofilia, pero abrimos la discusión de si estos son verdaderamente necesarios, ya que no modificarían el manejo de la paciente.

Palabras clave:
Trombosis
Pruebas de trombofilia
Anticoagulación
Trombosis arterial

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