Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2020; 8(11): 2399-2405
Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2399
Optical coherence tomography guided treatment avoids stenting in an antiphospholipid syndrome patient: A case report
Bei-Bei Du, Xing-Tong Wang, Ya-Liang Tong, Kun Liu, Pei-Pei Li, Xiang-Dong Li, Ping Yang, Ying Wang
Bei-Bei Du, Ya-Liang Tong, Kun Liu, Pei-Pei Li, Xiang-Dong Li, Ping Yang, Ying Wang, Department of Cardiology, The Third Hospital of Jilin University, Jilin Provincial Cardiovascular Research Institute, Jilin Provincial Engineering Laboratory for Endothelial Function and Genetic Diagnosis of Cardiovascular Disease, Changchun 130031, Jilin Province, China
Xing-Tong Wang, Department of Hematology, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Du BB, Wang Y, and Li PP were the patient’s physicians; Du BB, Tong YL, and Li XD performed the coronary angiography and coronary intervention; Tong YL and Liu K helped with acquisition of the data; Du BB, Wang XT, and Wang Y reviewed the literature and contributed to manuscript drafting; Du BB, Wang XT, and Wang Y were responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ying Wang, MD, Attending Doctor, Department of Cardiology, The Third Hospital of Jilin University, Jilin Provincial Cardiovascular Research Institute, Jilin Provincial Engineering Laboratory for Endothelial Function and Genetic Diagnosis of Cardiovascular Disease, No. 126, Xiantai Street, Changchun 130031, Jilin Province, China. wangying2020@jlu.edu.cn
Received: February 19, 2020
Peer-review started: February 19, 2020
First decision: April 29, 2020
Revised: April 29, 2020
Accepted: May 14, 2020
Article in press: May 14, 2020
Published online: June 6, 2020
Core Tip

Core tip: Acute myocardial infarction secondary to antiphospholipid syndrome in young female patients has been reported but not well studied. Coronary intervention, particularly stenting, is still in controversy in this special clinical scenario. Up to now, no specific management, especially intracoronary findings regarding this disease, has been reported. Here we present the direct evidence of acute coronary thrombosis with no atheroma in a young female acute myocardial infarction patient with antiphospholipid syndrome. Also, this case showed good in-hospital recovery with no stenting and intensified antithrombotic treatment using serial optical coherence tomography examinations.