摘要
catastrophic antiphospolipid syndrome (caps) is extremely rare antiphospolipid syndrome (aps) variety associated to higher mortality. when heart involvement appears has worsening pronostic. we reported a caps case, possibily afterward sting wasp triggering, with acute heart failure during evolution. the patient died despite angiographic stents, anticoagulation, corticoids and plasmaphereses treatment carried out.