title: Myocardial infarction secondary to a coronary ostial thrombus in antiphospholipid syndrome.
abstract: 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.
authors.affiliation: The Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Ibrahim S
authors.initials: IS
authors.lastname: Abu Romeh
authors.forename: Adnan K
authors.initials: AK
authors.lastname: Chhatriwalla
authors.forename: Fernando A
authors.initials: FA
authors.lastname: Atik
authors.forename: Deepak L
authors.initials: DL
authors.lastname: Bhatt
authors.forename: Jose L
authors.initials: JL
authors.lastname: Navia
mesh_terms: 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
chemical_list: D016682:Lupus Coagulation Inhibitor