Giant coronary aneurysm in a patient with systemic lupus erythematosus.
Coronary aneurysm is rare in SLE and confirmation of etiology is usually made at postmortem examination. We encountered a giant aneurysm with multiple stenotic segments of the coronary arteries in a patient with SLE who had previous history of AAA/TAA. Resection of the aneurysm and coronary artery bypass graft were successfully performed. Histology of the coronary arterial wall showed severe damage of the media with inflammatory cell infiltration, indicating that the aneurysm was caused by arteritis. The aneurysm may have developed during the long course of inactive stage of SLE, emphasizing the need for screening of coronary lesions in the management of SLE.
Suzuki
Hiroyuki
H
The First Department of Medicine, Hamamatsu University School of Medicine. hirosuzu@hama-med.ac.jp
Fujigaki
Yoshihide
Y
Mori
Masashi
M
Yamamoto
Tatsuo
T
Kato
Akihiko
A
Wakahara
Nobuyuki
N
Hayashi
Hideharu
H
Yamashita
Katsushi
K
Kazui
Teruhisa
T
Hishida
Akira
A
D000328:Adult; D001167:Arteritis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery