Highlights the rare occurrence of biventricular thrombosis in a structurally normal heart due to the combination of high altitude environmental conditions and underlying protein S deficiency.
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May warrant altitude caution in protein S deficiency; leaves open causal mechanisms and population risk.
We present a rare case of biventricular thrombus in a young patient with a structurally normal heart at high altitude, complicated with pulmonary embolism. Detailed evaluation revealed him to have protein S deficiency. Altered environmental conditions at high altitude associated with protein S deficiency resulted in thrombus formation at an unusual location; the same is discussed in this case report.
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Malani et al. (2014) studied this question.
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