title: [Acute myocardial infarction in a man without coronary atheromatosis and antiphospholipid syndrome: report of one case].
abstract: 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 .
authors.affiliation: Departamentos de Inmunología Clínica y Reumatología, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Marisol
authors.initials: M
authors.lastname: Jurado O
authors.forename: Josefina
authors.initials: J
authors.lastname: Durán
authors.forename: Alejandro
authors.initials: A
authors.lastname: Martínez
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Castellón
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Gutiérrez
mesh_terms: 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*
chemical_list: D000925:Anticoagulants