Journal of Echocardiography

, Volume 11, Issue 4, pp 150–151 | Cite as

Systemic lupus erythematosus and small vessel coronary infarction: who’s to blame?

  • Sameer Tatavarty
  • Stefan BuchholzEmail author
Case Report


Systemic lupus erythematosus (SLE) with or without accompanying antiphospholipid antibody syndrome (APLS) is known to cause myocardial ischemia via multiple mechanisms, including accelerated coronary atherosclerosis, impaired coronary vasomotor function, spontaneous intracoronary thrombus formation, or endothelial dysfunction in the context of cardiac syndrome X (CSX). We present the case of a young woman with SLE and APLS who presented with myocardial ischemia and peculiar echocardiographic evidence of multiple small septal perforator infarcts despite a normal coronary angiogram, a rare combination.


Systemic lupus erythematosus Antiphospholipid antibody syndrome Myocardial infarction Normal coronary angiogram 


Conflict of interest

There are no financial or other relations that could lead to a conflict of interest.

Supplementary material

Supplementary material 1 (AVI 7339 kb)


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Copyright information

© Japanese Society of Echocardiography 2013

Authors and Affiliations

  1. 1.Mackay Base HospitalJames Cook University School of MedicineMackayAustralia

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