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1: Ann Thorac Surg. 2007 Mar;83(3):1170-1.Click here to read Links

Myocardial infarction secondary to a coronary ostial thrombus in antiphospholipid syndrome.

Abu Romeh IS, Chhatriwalla AK, Atik FA, Bhatt DL, Navia JL.

The Cleveland Clinic, Cleveland, Ohio, USA.

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.

PMID: 17307484 [PubMed - indexed for MEDLINE]