[Acute myocardial infarction in a man without coronary atheromatosis and antiphospholipid syndrome: report of one case].
Coronary thrombosis as a manifestation of the antiphospholipid syndrome is very uncommon. We report a 25 year-old male without known cardiovascular risk factors that suffered an acute myocardial infarction as the initial manifestation of the antiphospholipid syndrome. His coronary angiogram demonstrated a single thrombotic lesion in the anterior descending artery without coronary atheromatosis. Anticardiolipin, anti B2 Glycoprotein I antibodies, and lupus anticoagulant were all positive. Besides the usual management of the coronary thrombosis, the patient was treated with permanent oral anticoagulation. Three months later, a CT coronary angiogram showed complete reperfusion of the involved artery .
Jurado O
Marisol
M
Departamentos de Inmunología Clínica y Reumatología, Pontificia Universidad Católica de Chile, Santiago, Chile.
Durán
Josefina
J
Martínez
Alejandro
A
Castellón
José Miguel
JM
Gutiérrez
Miguel A
MA
D000208:Acute Disease; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D016736:Antiphospholipid Syndrome / Q000150:complications*; D003324:Coronary Artery Disease / Q000175:diagnosis*; D003328:Coronary Thrombosis / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*
D000925:Anticoagulants