Pulmonary Thromboendarterectomy in a Known Case of Antiphospholipid Syndrome

A 23-year-old male was admitted to our hospital with complaints of shortness of breath, grade-III, chest pain, and palpitation for the last 3 months. He had one episode of hemoptysis 3 months back. He was a known case of primary antiphospholipid antibody syndrome (APS) with bilateral chronic pulmonary thromboembolism with chronic thromboembolic pulmonary hypertension (CTEPH) with the presence of anticardiolipin antibody. The patient had no history of joint pain, hematuria, and photosensitivity. He was on domiciliary oxygen therapy at 1 L/min to maintain an oxygen saturation of 93%, riociguat, ecosprin, hydroxychloroquine, and enoxaparin. The patient was referred to our hospital for pulmonary thromboendarterectomy (PTE).