title: Severe Coronary Spasm in Systemic Lupus Erythematosus Resulting in Recurrent Occlusions and Guide Wire Fracture.
abstract: Middle-aged female patients with systemic lupus erythematosus (SLE) have an increased risk of coronary artery disease and myocardial infarction (MI). We report a case of left anterior descending coronary artery (LAD) MI associated with severe coronary spasm in both the LAD and left circumflex artery, complicated with fracture of the distal wire within the microcatheter which was successfully removed by manual aspiration using an inflation device. From this series of rare complications of SLE with MI, severe coronary spasm and guide wire fracture, we underscore that clinicians performing coronary intervention should be aware of an elevated chance of possible severe coronary spasms in SLE patients.
authors.affiliation: Division of Interventional Cardiology, Cardiovascular Center, Taichung Veterans General Hospital, Taichung; ; School of Medicine, National Yang-Ming University;
authors.forename: Chih-Hung
authors.initials: CH
authors.lastname: Lai
authors.affiliation: School of Medicine, National Yang-Ming University; ; Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei;
authors.forename: Tse-Min
authors.initials: TM
authors.lastname: Lu
authors.affiliation: Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Linkou and Chang Gung University; ; Healthy Aging Research Center, Chang Gung University, Taoyuan;
authors.forename: Yu-Hsiang
authors.initials: YH
authors.lastname: Juan
authors.affiliation: School of Medicine, National Yang-Ming University; ; Department of Anesthesiology, Taichung Veterans General Hospital, Taichung, Taiwan.
authors.forename: Szu-Ling
authors.initials: SL
authors.lastname: Chang
authors.affiliation: Division of Interventional Cardiology, Cardiovascular Center, Taichung Veterans General Hospital, Taichung; ; School of Medicine, National Yang-Ming University;
authors.forename: Wen-Lieng
authors.initials: WL
authors.lastname: Lee
authors.affiliation: School of Medicine, National Yang-Ming University; ; Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei;
authors.forename: Shih-Hsien
authors.initials: SH
authors.lastname: Sung
keywords: Coronary spasm; Myocardial infarction; Systemic lupus erythematosus