Unstable angina secondary to left main coronary artery vasculitis as a rare initial manifestation of systemic lupus erythematosus. A case report

Jaime Ponce-Gallegos; Jesús A. García-Diaz; José Jesús Alanis-Ponce; César Yldifonso Salinas-Ulloa; José Pablo Velázquez-Padilla; Marco Antonio Ponce-Gallegos

doi:10.47487/apcyccv.v5i3.372

Authors

Jaime Ponce-Gallegos Unidad Cardiológica de Alta Espe- cialidad «Korazón», Tepic, Nayarit, México. https://orcid.org/0000-0002-5389-2028
Jesús A. García-Diaz Servicio de Cardiología, Hospital Regional “Dr. Valentín Gómez Farías”. Guadalajara, Jalisco, México. https://orcid.org/0000-0002-3394-2286
José Jesús Alanis-Ponce Unidad Académica de Medicina, Universidad Autónoma de Nayarit, Tepic, Nayarit, México.
César Yldifonso Salinas-Ulloa Servicio de Cardiología. Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan, Ciudad de México, México. https://orcid.org/0000-0003-3737-675X
José Pablo Velázquez-Padilla Servicio de Cardiología. Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan, Ciudad de México, México. https://orcid.org/0000-0001-8132-6472
Marco Antonio Ponce-Gallegos Servicio de Cardiología. Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan, Ciudad de México, México. https://orcid.org/0000-0003-4992-9913

DOI:

https://doi.org/10.47487/apcyccv.v5i3.372

Keywords:

Lupus Erythematosus, Systemic, Vasculitis, Anomalous Left Coronary Artery, Unstable, Angina

Abstract

We present the case of a woman in her third decade of life, known to have difficult-to-control mixed headaches and polycystic ovary syndrome under hormonal treatment. Without any other manifestation, the patient debuted with an acute coronary syndrome classified as unstable angina. Electrocardiogram showed anterior and lateral ST segment depression and ST elevation in aVR. Coronary computer tomography and coronary angiography showed evidence of significant obstruction of the left main coronary artery. The patient was diagnosed with systemic lupus erythematosus (SLE), and was classified as vasculitis secondary to SLE as an unusual initial manifestation.

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