Case Report
Year: 2023 | Month: August | Volume: 13 | Issue: 8 | Pages: 283-286
DOI: https://doi.org/10.52403/ijhsr.20230838
Anaesthesia Challenges in Management of Antiphospholipid Syndrome with Mobile Right Heart Thrombus in Urgent Lower Section Caesarean Section
Dr Neerja Sharma1, Dr Puneet Sharma2, Dr Gagan Behl3
1MD (Obstetrics and Gynaecology), Consultant, Max Super Speciality Hospital, Shalimar Bagh, New Delhi, India
2MD (Anaesthesia), Associate Director and Head., Max Super Speciality Hospital, Shalimar Bagh, New Delhi, India
3MD, DA (Anaesthesia) Senior Consultant, Max Super Speciality Hospital, Shalimar Bagh, New Delhi, India
Corresponding Author: Dr Neerja Sharma
ABSTRACT
Antiphospholipid syndrome (APS) is an autoimmune disease characterized by antiphospholipid antibodies. APS during pregnancy can lead to complications such as recurrent foetal loss and placental insufficiency due to thrombotic events. This case report presents the management of a 31-year-old woman with APS and ischemic placental insufficiency who required an urgent caesarean section. The patient had a history of missed abortion and cardiac manifestations, including mobile right heart thrombus. A multidisciplinary team collaborated to develop treatment strategies and minimize the risks associated with thrombus dislodgment. The patient underwent successful surgery and delivered a healthy baby. Standardized protocols for managing similar cases need to be developed through further research and collaboration.
Key words: Antiphospholipid syndrome, thrombotic events, multidisciplinary team, mobile right heart thrombus, caesarean section, anaesthesia.