title: Unusual coronary artery ectasia and stenosis in a patient with systemic lupus erythematosus and acute myocardial infarction.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Chang Gung University, Taipei, Taiwan, ROC.
authors.forename: P H
authors.initials: PH
authors.lastname: Chu
authors.forename: Y S
authors.initials: YS
authors.lastname: Ko
authors.forename: T S
authors.initials: TS
authors.lastname: Hsu
authors.forename: S F
authors.initials: SF
authors.lastname: Luo
authors.forename: C W
authors.initials: CW
authors.lastname: Chiang
mesh_terms: 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*