Fatal multiple coronary involvements in a young woman with systemic lupus erythematosus.

Abstract:

:We report a rare case of fulminant congestive heart failure with fatal outcome in a 21-year-old girl with systemic lupus erythematosus (SLE). A young woman was admitted in the intensive care unit for pericardial tamponade associated with disseminated coagulopathy and refractory shock secondary to multiple coronary aneurysms. Post-mortem examination revealed significant multiple coronary lesions with aneurysms of the interventricular and right coronary arteries, responsible of muscular necrosis, thrombosis of the coronary sinus, and significant pericardial infiltration with hemorrhagic fluid. We describe a refractory cardiac failure with extensive coronary artery involvements, which is very uncommon in young patients with SLE: few cases have been previously described in the literature. We report a rare case of fulminant congestive heart failure with fatal outcome in a young woman with SLE related to extensive coronary involvements.

journal_name

Acta Clin Belg

journal_title

Acta clinica Belgica

authors

Ha Vu N,Duttmann R,De Bels D,Devriendt J,Reper P

doi

10.1179/2295333714Y.0000000063

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

460-2

issue

6

eissn

1784-3286

issn

2295-3337

journal_volume

69

pub_type

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