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(Chest. 1999;116:1116-1118.)
© 1999 American College of Chest Physicians

Multiple Coronary Aneurysms in a Case of Systemic Lupus Erythematosus*

Amy H. Matayoshi, MD; Milind R. Dhond, MB and Lawrence J. Laslett, MD

* From the Department of Medicine, Division of Cardiology, University of California at Davis Medical Center, Sacramento, CA.

Correspondence to: Milind Dhond, MD, Department of Medicine, Division of Cardiology, University of California at Davis Medical Center, 2315 Stockton Blvd, Sacramento, CA 95817

Abstract

A 29-year-old woman with active systemic lupus erythematosus (SLE) sustained an anterior myocardial infarction and demonstrated angiographic evidence of multiple, diffuse coronary aneurysms. Coronary artery aneurysms have been reported in 11 prior cases of patients with SLE. A Medline search of the literature revealed no prior reports of extensive aneurysmal dilatations involving all three main coronary arteries (left anterior descending, left circumflex, and right coronary arteries).

Key Words: coronary artery aneurysms • myocardial infarction • systemic lupus erythematosus




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Copyright © 1999 by the American College of Chest Physicians.