Myocardial infarction revealing an antiphospholipid syndrome in a 27-year-old woman
Baudouy, P.Y.; Bouchachi, A.A.; Costedoat-Chalumeau, N.; Eiferman, C.; Abassade, P.; Lhosmot, J.P.; Ricard, G.; Piette, J.C.
Archives des Maladies du Coeur et des Vaisseaux 96(12): 1231-1234
2003
ISSN/ISBN: 0003-9683 PMID: 15248452 Document Number: 565596
We report the case of a 27 year old woman, with no vascular risk factors other than moderate smoking, admitted for a first acute anterior myocardial infarction. Emergency coronarography detected an isolated thrombosis, localised at the level of the middle section of the anterior inter-ventricular artery in an otherwise normal coronary network. Angioplasty of the artery with direct stenting was performed successfully and the follow up was uncomplicated. The diagnosis of primary antiphospholipid syndrome was made on the association of a raised level of anti-cardiolipin antibodies and the absence of elements in favour of an associated connective tissue disorder.