Unusual coronary artery ectasia and stenosis in a patient with systemic lupus erythematosus and acute myocardial infarction.
Acute myocardial infarction is an important and sometimes fatal complication of systemic lupus erythematosus (SLE). We describe a case of acute myocardial infarction in a 23-year-old woman with SLE. Angiography revealed coronary ectasia in the left main and proximal circumflex coronary arteries, as well as a stenotic lesion in the left anterior descending artery. The possible pathophysiology is discussed.
Chu
P H
PH
Department of Internal Medicine, Chang Gung University, Taipei, Taiwan, ROC.
Ko
Y S
YS
Hsu
T S
TS
Luo
S F
SF
Chiang
C W
CW
D000328:Adult; D000792:Angiography; D003251:Constriction, Pathologic / Q000150:complications; D003331:Coronary Vessels / Q000473:pathology*; D004108:Dilatation, Pathologic / Q000150:complications; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009203:Myocardial Infarction / Q000150:complications*