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Journal of Case Reports
An Unusual Cause of Multiple Left Ventricle Thrombi in a Young Woman
Sofien Zayed1, Rami Tlili1, Fares Azaiez1, Rim Hentati1, Fatma Zouari1, Rim Ben Romdhane1, Rania Hammami2, Youssef Ben Ameur1
1Department of Cardiology, Mongi Slim University Hospital La Marsa, Tunis, Tunisia; 2Department of Cardiology, HediChaker University Hospital, Sfax, Tunisia.
Corresponding Author:
Dr. Zayed Sofien
Email: sofienzayed91@gmail.com 
Received: 07-JAN-2020 Accepted: 28-JUL-2020 Published Online: 15-SEP-2020
DOI: http://dx.doi.org/10.17659/01.2020.0050
Background: Antiphospholipid syndrome (APS) is a rare autoimmune disease with an increased risk of vascular occlusion and pregnancy complications. As a multisystemic disease, the heart is usually affected by direct (autoimmune action) or indirect (thrombosis) pathological mechanisms. Case Report: A 40-year-old diabetic and hypertensive woman presented with congestive heart failure. The echocardiographic exploration showed reduced left ventricle ejection fraction (20%) and diffuse wall motion abnormalities with multiple large thrombi in the left ventricle. The coronary angiography was normal. The APS was confirmed by positive laboratory tests (La, aCL and aß2GPI). Conclusion: The revelation of APS by cardiac manifestations, mainly cardiac thrombosis, is rarely reported in the literature, and evolution is usually unfavorable.

Keywords : Coronary Angiography, Echocardiography, Heart Diseases, Lupus Coagulation Inhibitor, Thrombosis.
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