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Rapidly Progressive Coronary Aneurysm: A Rare Case of Isolated Coronary Vasculitis With Recurrent Myocardial Infarction

Isolated coronary arteritis without systemic involvement in adults is exceedingly rare. A 60-year-old patient developed recurrent non–ST-segment elevation myocardial infarctions for 1 year. After an initial coronary angiogram that was normal, serial angiograms showed de novo aneurysm formation. The...

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Detalles Bibliográficos
Autores principales: Rodrigues, Tiago, Aguiar-Ricardo, Inês, Menezes, Miguel Nobre, Rigueira, Joana, Santos, Rafael, Fonseca, Valter, Pinto, Fausto J., Almeida, Ana G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9091517/
https://www.ncbi.nlm.nih.gov/pubmed/35573846
http://dx.doi.org/10.1016/j.jaccas.2022.02.022
Descripción
Sumario:Isolated coronary arteritis without systemic involvement in adults is exceedingly rare. A 60-year-old patient developed recurrent non–ST-segment elevation myocardial infarctions for 1 year. After an initial coronary angiogram that was normal, serial angiograms showed de novo aneurysm formation. The patient responded favorably to corticosteroids, supporting the diagnosis of isolated coronary arteritis. (Level of Difficulty: Intermediate.)