Intracoronary thrombus visualized by optical coherence tomography in a patient with antiphospholipid syndrome

Abstract A patient with a history of deep venous thrombosis on warfarin underwent coronary angiography and was found to have red intracoronary thrombus in the mid left anterior descending artery by optical coherence tomography. Percutaneous intervention successfully performed. On discharge, continued triple therapy aspirin, clopidogrel, apixaban for 30 days then discontinued aspirin. hypercoagulable work up notable antiphospholipid syndrome lifelong anticoagulation recommended. The twice daily given recurrent while event free at 6-month follow up.