title: Aortic valve replacement after previous coronary artery bypass grafting in a patient with antiphospholipid syndrome.
abstract: We report a 55-year-old female patient with antiphospholipid syndrome secondary to systemic lupus erythematosus. The patient had undergone coronary artery bypass grafting for myocardial infarction due to left main trunk stenosis at the age of 52. Subsequently, she developed aortic insufficiency and underwent aortic valve replacement without any hemodynamic or hemostatic problems. Both coronary and valve disease should be considered in patients with antiphospholipid syndrome secondary to systemic lupus erythematosus.
authors.affiliation: Department of Cardiovascular Surgery, Osaka Red Cross Hospital, Japan.
authors.forename: G
authors.initials: G
authors.lastname: Sakaguchi
authors.forename: K
authors.initials: K
authors.lastname: Minami
authors.forename: S
authors.initials: S
authors.lastname: Nakayama
authors.forename: H
authors.initials: H
authors.lastname: Tsuneyoshi
mesh_terms: D016736:Antiphospholipid Syndrome / Q000150:complications*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D008875:Middle Aged