Myocardial infarction secondary to a coronary ostial thrombus in antiphospholipid syndrome.
case_report · Level V
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Abstract
A 44-year-old woman presented with an acute inferior ST elevation myocardial infarction, followed by a stroke in the right hemisphere. To search for a cardiac source of embolism, a transesophageal echocardiogram was performed, which showed a mass obstructing the origin of the right coronary artery. The mass was surgically excised and a histologic examination confirmed its thrombotic origin. The diagnosis of antiphospholipid antibody syndrome was confirmed by positive lupus anticoagulant antibodies.
Medical subject headings
- Antiphospholipid Syndrome
- Coronary Thrombosis
- Myocardial Infarction