Among the cardiac complications that can be spurred by systemic lupus erythematosus,
coronary aneurysms are a particularly challenging presentation.
1
A 32-year-old woman with longstanding systemic lupus erythematosus was referred to
us for treatment of New York Heart Association class III heart failure, including
possible mitral valve replacement. She had diffuse proliferative lupus nephritis (class
IV), chronic renal failure, hypertension, chronic anemia, and lung tuberculosis. She
had no personal or family history of Kawasaki's disease, rheumatic heart disease,
or coronary artery disease. Her drug regimen consisted of ramipril, bisoprolol, prednisone,
isoniazid, rifampicin and pyrazinamide. She did not complain of recent chest, back,
or upper limb pain.To read this article in full you will need to make a payment
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References
- Rare complications of systemic lupus erythematosus.Intern Med. 2012; 51: 3101-3102
- Giant coronary aneurysm in a patient with systemic lupus erythematosus.Intern Med. 2009; 48: 1407-1412
- Multiple coronary aneurysms in a case of systemic lupus erythematosus.Chest. 1999; 116: 116-118
- Myocardial infarction due to thrombi in coronary aneurysms in a young woman with systemic lupus erythematosus.J Cardiogr. 1986; 16: 249-258
- Giant coronary artery aneurysms and myocardial infarction in a patient with systemic lupus erythematosus.Cathet Cardiovasc Diagn. 1996; 39: 75-79
- Immune complex deposition and coronary vasculitis in systemic lupus erythematosus. Report of two cases.Am J Med. 1984; 77: 141-146
- Atherosclerosis in systemic lupus erythematosus.J Cardiovasc Pharmacol. 2013; 62: 255-262
- Definitions of and contributions to cardiovascular disease in systemic lupus erythematosus.Autoimmunity. 2014; 47: 67-76
- Fatal ruptured mycotic coronary artery aneurysm.PNG Med J. 1982; 25: 281-282
Article Info
Publication History
Published online: June 11, 2014
Robert G. Stern, MD, Section EditorFootnotes
Funding: None.
Conflict of Interest: None.
Authorship: All Authors had access to the data and a role in writing the manuscript.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
