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Revista médica de Chile

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JURADO O, Marisol et al. Acute myocardial infarction in a man without coronary atheromatosis and antiphospholipid syndrome: Report of one case. Rev. méd. Chile [online]. 2009, vol.137, n.11, pp.1478-1481. ISSN 0034-9887.

Coronary thrombosis as a manifestation of the antiphospholipid syndrome is very uncommon. We report a 25 year-old male without known cardiovascular risk factors that suffered an acute myocardial infarction as the initial manifestation of the antiphospholipid syndrome. His coronary angiogram demonstrated a single thrombotic lesion in the anterior descending artery without coronary atheromatosis. Anticardiolipin, anti B2 Glycoprotein I antibodies, and lupus anticoagulant were all positive. Besides the usual management of the coronary thrombosis, the patient was treated with permanent oral anticoagulation. Three months later, a CT coronary angiogram showed complete reperfusion of the involved artery .

Keywords : Anticoagulants; Antiphospholipid syndrome; Myocardial infarction.

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