Koh H K, Yoo D H, Yoo T S, Jun J B, Jung S S, Lee J U, Kim J H, Kim S Y
Hospital for Rheumatic Diseases, Division of Cardiology, Seoul, Korea.
Clin Exp Rheumatol. 1998 Nov-Dec;16(6):739-42.
A 22-year-old woman with known SLE and chronic hepatitis B developed anginal pain. During this period there was serologic but no other clinical evidence of active SLE. Myocardial perfusion SPECT showed a severe reversible perfusion defect in the posterior wall, and coronary angiography revealed multiple coronary aneurysms in the left anterior descending artery and circumflex artery and total occlusion of the proximal right coronary artery. This case suggests that coronary aneurysms and total occlusion may represent a sequela of arteritis, or of a combination of underlying vasculitis and a recent thrombotic obstruction due to antiphospholipid syndrome.
一名患有系统性红斑狼疮（SLE）和慢性乙型肝炎的22岁女性出现了心绞痛。在此期间，有SLE活动的血清学证据，但无其他临床证据。心肌灌注单光子发射计算机断层扫描（SPECT）显示后壁有严重的可逆性灌注缺损，冠状动脉造影显示左前降支和回旋支有多个冠状动脉瘤，右冠状动脉近端完全闭塞。该病例提示冠状动脉瘤和完全闭塞可能是动脉炎的后遗症，或者是潜在血管炎与抗磷脂综合征近期血栓形成阻塞共同作用的结果。
