Spontaneous coronary artery dissection in a patient with systemic lupus erythematosis.
Arvind K Sharma, Andrew Farb, Parimal Maniar, Andrew E Ajani, Marco Castagna, Renu Virmani, William Suddath, Joseph Lindsay
Hawaii Medical Journal | Published : 2003
Spontaneous coronary artery dissection (SCAD) is an uncommon condition that may lead to sudden coronary artery occlusion resulting in a fatal acute myocardial infarction. It usually affects young to middle age women. A Medline search from 1966 to 2001 (using keywords: coronary artery dissection and systemic lupus erythematosis) revealed no prior reports of coronary dissection in a patient with systemic lupus erythematosis (SLE). We describe a 48-year old woman with SLE who sustained a fatal spontaneous left main coronary artery dissection. Coronary angiogram was notable for marked variability in the size of coronary lumen from systole to diastole. This case demonstrates the need to consider ..View full abstract