Acute myocardial infarction induced by thrombi within the coronary artery aneurysms of a young male SLE patient

Sang Yeob 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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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.

Original languageEnglish
Pages (from-to)72-75
Number of pages4
JournalKorean Circulation Journal
Volume36
Issue number1
Publication statusPublished - 2006 Jan 1
Externally publishedYes

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Keywords

  • Aneurysm
  • Coronary disease
  • Lupus erythematosus, systemic
  • Myocardial infarction

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Lim, S. Y., Jeong, M. H., Lee, S. R., Hong, S. N., Kim, K. H., Sohn, I. S., Park, H. W., Hong, Y. J., Kim, J. H., Kim, W., Ahn, Y. K., Cho, J. G., Park, J. C., & Kang, J. C. (2006). Acute myocardial infarction induced by thrombi within the coronary artery aneurysms of a young male SLE patient. Korean Circulation Journal, 36(1), 72-75.