Myocardial infarction secondary to coronary aneurysm in systemic lupus erythematosus. An autopsy case

Angiology. 1995 Jun;46(6):527-30. doi: 10.1177/000331979504600611.


The authors report a thirty-seven-year-old woman with systemic lupus erythematosus (SLE), a coronary aneurysm, and myocardial infarction. SLE was diagnosed at twenty-three years of age and treated with prednisolone. Seven years later, she developed inferior myocardial infarction, and coronary angiography showed an aneurysm in the proximal right coronary artery without associated stenosis. At the age of thirty-seven years, she died from cerebral infarction and sepsis. Autopsy revealed an aneurysm (6 mm in diameter) in the proximal right coronary artery and an old inferior myocardial infarction. Histologic examination showed recanalization and fibrosis in the media of the aneurysm wall. This case suggests that coronary aneurysm may cause myocardial infarction in SLE and that aneurysm formation may be a sequela of arteritis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chronic Disease
  • Coronary Aneurysm / complications*
  • Coronary Aneurysm / diagnostic imaging
  • Coronary Aneurysm / pathology
  • Coronary Angiography
  • Coronary Vessels / pathology
  • Female
  • Humans
  • Lupus Erythematosus, Systemic / complications*
  • Lupus Erythematosus, Systemic / diagnostic imaging
  • Lupus Erythematosus, Systemic / pathology
  • Myocardial Infarction / diagnostic imaging
  • Myocardial Infarction / etiology*
  • Myocardial Infarction / pathology
  • Myocardium / pathology