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Right arrow Myocardial infarction

Ann Thorac Surg 2007;83:1170-1171
© 2007 The Society of Thoracic Surgeons

Case Reports

Myocardial Infarction Secondary to a Coronary Ostial Thrombus in Antiphospholipid Syndrome

Ibrahim S. Abu Romeh, MD, Adnan K. Chhatriwalla, MD, Fernando A. Atik, MD, Deepak L. Bhatt, MD, Jose L. Navia, MD*

The Cleveland Clinic, Cleveland, Ohio

Accepted for publication September 6, 2006.

* Address correspondence to Dr Navia, 9500 Euclid Ave, F25, Cleveland, OH 44195 (Email: naviaj{at}ccf.org).

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.






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