Acute Myocardial Infarction Induced by Thrombi within the Coronary Artery Aneurysms of a Young Male SLE Patient.

Sang Yup LIM; Myung Ho JEONG; Sang Rok LEE; Seo Na HONG; Kye Hun KIM; Il Seok SOHN; Hyung Wook PARK; Young Joon HONG; Ju Han KIM; Weon KIM; Young Keun AHN; Jeong Gwan CHO; Jong Chun PARK; Jung Chaee KANG

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Acute Myocardial Infarction Induced by Thrombi within the Coronary Artery Aneurysms of a Young Male SLE Patient.

Author: Sang Yup LIM ¹ ; Myung Ho JEONG ; Sang Rok LEE ; Seo Na HONG ; Kye Hun KIM ; Il Seok SOHN ; Hyung Wook PARK ; Young Joon HONG ; Ju Han KIM ; Weon KIM ; Young Keun AHN ; Jeong Gwan CHO ; Jong Chun PARK ; Jung Chaee KANG
Author Information

1. The Heart Center of Chonnam National University Hospital, Chonnam National University Research Institute of Medical Sciences, Gwangju, Korea.
Publication Type:Case Report
Keywords: Coronary disease; Aneurysm; Myocardial infarction; Lupus erythematosus, systemic
MeSH: Adult; Aneurysm*; Coronary Disease; Coronary Vessels*; Dilatation; Humans; Lupus Erythematosus, Systemic; Male*; Myocardial Infarction*; Percutaneous Coronary Intervention; Ultrasonography
From:Korean Circulation Journal 2006;36(1):72-75
CountryRepublic of Korea
Language:Korean
Abstract: We describe the case of a 30-year-old man with systemic lupus erythematosus (SLE) and he was struck with non-ST segment elevation myocardial infarction: this was due to the presence of multiple coronary artery aneurysms those were full of thrombi. A diagnostic coronary angiogram revealed huge dilatations in the proximal three coronary arteries with multiple filling defects and a decreased flow rate, and these were suggestive of thrombi within the coronary artery aneurysms. An intravascular ultrasound (IVUS) examination revealed huge aneurysmal dilatations with movable thrombi in three coronary arteries. He had an uneventful recovery without us having to perform any percutaneous coronary intervention.