Acute left main coronary artery thrombosis as an initial presentation of systemic lupus erythematosus.
Kang Un ChoiWoong KimPublished in: Yeungnam University journal of medicine (2018)
Left main coronary artery (LMCA) thrombosis is rare and the cause should be determined. A previously healthy young man presented with severe chest pain and dyspnea. The electrocardiogram showed typical ST-segment elevation myocardial infarction with clinical instability. Emergency coronary angiography revealed complete LMCA occlusion by thrombosis. After reperfusion, the patient was admitted to the cardiac care unit. He was diagnosed with hemolytic anemia and tested positive for antinuclear antibodies. Systemic lupus erythematosus (SLE) and LMCA disease due to systemic thrombosis were diagnosed. Steroids were started and the patient was discharged without complications. We report this rare case of LMCA thrombosis as an initial presentation of SLE.
Keyphrases
- systemic lupus erythematosus
- pulmonary embolism
- coronary artery
- disease activity
- st segment elevation myocardial infarction
- case report
- rare case
- healthcare
- pulmonary artery
- percutaneous coronary intervention
- acute myocardial infarction
- risk factors
- drug induced
- liver failure
- left ventricular
- chronic kidney disease
- single cell
- coronary artery disease
- heart failure
- pulmonary hypertension
- atrial fibrillation
- mechanical ventilation
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- aortic dissection