Giant Coronary Aneurysm in a Patient with Systemic Lupus Erythematosus

Hiroyuki Suzuki; Yoshihide Fujigaki; Masashi Mori; Tatsuo Yamamoto; Akihiko Kato; Nobuyuki Wakahara; Hideharu Hayashi; Katsushi Yamashita; Teruhisa Kazui; Akira Hishida

doi:10.2169/internalmedicine.48.2079

CASE REPORTS

Giant Coronary Aneurysm in a Patient with Systemic Lupus Erythematosus

Hiroyuki Suzuki, Yoshihide Fujigaki, Masashi Mori, Tatsuo Yamamoto, Akihiko Kato, Nobuyuki Wakahara, Hideharu Hayashi, Katsushi Yamashita, Teruhisa Kazui, Akira Hishida

Author information

Hiroyuki Suzuki
The First Department of Medicine, Hamamatsu University School of Medicine
Yoshihide Fujigaki
The First Department of Medicine, Hamamatsu University School of Medicine
Masashi Mori
The First Department of Medicine, Hamamatsu University School of Medicine
Tatsuo Yamamoto
The First Department of Medicine, Hamamatsu University School of Medicine
Akihiko Kato
Division of Blood Purification, Hamamatsu University School of Medicine
Nobuyuki Wakahara
The Third Department of Medicine, Hamamatsu University School of Medicine
Hideharu Hayashi
The Third Department of Medicine, Hamamatsu University School of Medicine
Katsushi Yamashita
The First Department of Surgery, Hamamatsu University School of Medicine
Teruhisa Kazui
The First Department of Surgery, Hamamatsu University School of Medicine
Akira Hishida
The First Department of Medicine, Hamamatsu University School of Medicine

Keywords: systemic lupus erythematosus, arteritis, multi-row detector computed tomography

JOURNAL OPEN ACCESS

2009 Volume 48 Issue 16 Pages 1407-1412

DOI https://doi.org/10.2169/internalmedicine.48.2079

Details

Abstract

Coronary aneurysm is rare in SLE and confirmation of etiology is usually made at postmortem examination. We encountered a giant aneurysm with multiple stenotic segments of the coronary arteries in a patient with SLE who had previous history of AAA/TAA. Resection of the aneurysm and coronary artery bypass graft were successfully performed. Histology of the coronary arterial wall showed severe damage of the media with inflammatory cell infiltration, indicating that the aneurysm was caused by arteritis. The aneurysm may have developed during the long course of inactive stage of SLE, emphasizing the need for screening of coronary lesions in the management of SLE.

Corresponding author

Register with J-STAGE for free!