A 29-year-old woman with active systemic lupus
erythematosus (SLE) sustained an anterior myocardial infarction and
demonstrated angiographic evidence of multiple, diffuse coronary
aneurysms. Coronary artery aneurysms have been reported in 11 prior
cases of patients with SLE. A Medline search of the literature revealed
no prior reports of extensive aneurysmal dilatations involving all
three main coronary arteries (left anterior descending, left
circumflex, and right coronary arteries).