COEXISTENCE OF CORONARY ANEURYSMS AND TOTAL OCCLUSION OF CORONARY-ARTERIES IN SYSTEMIC LUPUS-ERYTHEMATOSUS

A 22-year-old woman with known SLE and chronic hepatitis B developed a nginal pain. During this period there was serologic but no other clini cal evidence of active SLE. Myocardial perfusion SPECT showed a severe reversible perfusion defect in the posterior wall, and coronary angio graphy revealed multiple coronary aneurysms in the left anterior desce nding 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 combinat ion of underlying vasculitis and a recent thrombotic obstruction due t o antiphospholipid syndrome.