Myocardial infarction secondary to a coronary ostial thrombus in antiphospholipid syndrome.
A 44-year-old woman presented with an acute inferior ST elevation myocardial infarction, followed by a stroke in the right hemisphere. To search for a cardiac source of embolism, a transesophageal echocardiogram was performed, which showed a mass obstructing the origin of the right coronary artery. The mass was surgically excised and a histologic examination confirmed its thrombotic origin. The diagnosis of antiphospholipid antibody syndrome was confirmed by positive lupus anticoagulant antibodies.
Abu Romeh
Ibrahim S
IS
The Cleveland Clinic, Cleveland, Ohio, USA.
Chhatriwalla
Adnan K
AK
Atik
Fernando A
FA
Bhatt
Deepak L
DL
Navia
Jose L
JL
D000328:Adult; D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000175:diagnosis / Q000276:immunology; D003328:Coronary Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D016682:Lupus Coagulation Inhibitor / Q000097:blood; D009203:Myocardial Infarction / Q000209:etiology*; D020521:Stroke / Q000209:etiology
D016682:Lupus Coagulation Inhibitor