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A clinical case of successful treatment of coronary artery dissection and left ventricular thrombosis in a young man carrier of factor V Leiden gene and transient ischemic attack

https://doi.org/10.20514/2226-6704-2023-13-4-312-320

EDN: ZFMFOO

Abstract

One of the causes of transient ischemic attack or ischemic stroke are mass formations in the left heart. One of the predisposing factors for thrombosis is the presence of the Leiden mutation, as the most common form of hereditary thrombophilia in the European population. At the same time, spontaneous dissection of the coronary arteries (SCA) can be one of the reasons of an acute vascular accident. Of particular difficulty is differential diagnosis, which requires additional examination methods (intravascular ultrasound, optical coherence tomography) in addition to coronary angiography. The presented clinical case describes the diagnosis and successful treatment of spontaneous anterior interventricular artery dissection, left ventricular thrombosis, detection of factor V Leiden gene mutation in a young man with a history of transient ischemic attack

About the Authors

S. T. Enginoev
Federal Center for Cardiovascular Surgery of the Ministry of Health of the Russian Federation; Astrakhan State Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Soslan T. Enginoev

Astrakhan



Yu. B. Martyanova
Federal Center for Cardiovascular Surgery of the Ministry of Health of the Russian Federation
Russian Federation

Astrakhan



E. V. Efremova
Ulyanovsk State University
Russian Federation

Ulyanovsk



I. I. Chernov
Federal Center for Cardiovascular Surgery of the Ministry of Health of the Russian Federation
Russian Federation

Astrakhan



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Enginoev S.T., Martyanova Yu.B., Efremova E.V., Chernov I.I. A clinical case of successful treatment of coronary artery dissection and left ventricular thrombosis in a young man carrier of factor V Leiden gene and transient ischemic attack. The Russian Archives of Internal Medicine. 2023;13(4):312-320. https://doi.org/10.20514/2226-6704-2023-13-4-312-320. EDN: ZFMFOO

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ISSN 2226-6704 (Print)
ISSN 2411-6564 (Online)