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A rare case of fibromuscular dysplasia with multifocal coronary artery involvement evaluated by intravascular ultrasound

Fibromuscular dysplasia (FMD) is non-atherosclerotic, non-inflammatory vascular disease that results in arterial stenosis. The lesions in FMD are commonly found in the renal and extracranial carotid and vertebral arteries, but the prevalence of FMD with lesions in the coronary artery is unclear. Alt...

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Autores principales: Sakuma, Yuya, Nakazato, Kazuhiko, Shimizu, Takeshi, Ikeda, Ayano, Ohara, Himika, Kobayashi, Atsushi, Yamaki, Takayoshi, Ishida, Takafumi, Takeishi, Yasuchika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Cardiology 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9808457/
https://www.ncbi.nlm.nih.gov/pubmed/36618844
http://dx.doi.org/10.1016/j.jccase.2022.09.011
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author Sakuma, Yuya
Nakazato, Kazuhiko
Shimizu, Takeshi
Ikeda, Ayano
Ohara, Himika
Kobayashi, Atsushi
Yamaki, Takayoshi
Ishida, Takafumi
Takeishi, Yasuchika
author_facet Sakuma, Yuya
Nakazato, Kazuhiko
Shimizu, Takeshi
Ikeda, Ayano
Ohara, Himika
Kobayashi, Atsushi
Yamaki, Takayoshi
Ishida, Takafumi
Takeishi, Yasuchika
author_sort Sakuma, Yuya
collection PubMed
description Fibromuscular dysplasia (FMD) is non-atherosclerotic, non-inflammatory vascular disease that results in arterial stenosis. The lesions in FMD are commonly found in the renal and extracranial carotid and vertebral arteries, but the prevalence of FMD with lesions in the coronary artery is unclear. Although the vascular morphology of coronary artery lesion in FMD is mostly dissection, the following case of FMD showed the stenotic and aneurysmal lesions in coronary arteries, which was treated by percutaneous coronary angioplasty. Several vascular imaging modalities including computed tomographic angiography and catheter angiography are used for diagnosing FMD, however, the intravascular ultrasound (IVUS) imaging of the coronary artery in FMD has not been well studied. Here we describe a rare case of FMD involving multifocal coronary artery lesions with coronary aneurysm which was evaluated by IVUS imaging. LEARNING OBJECTIVE: The vascular morphologies of coronary artery lesion in fibromuscular dysplasia (FMD) mostly appear as coronary dissection, however, multifocal stenotic and aneurysmal lesions can occur in coronary arteries in FMD as the following case shows. The intravascular ultrasound findings of the stenotic coronary lesions in FMD, that were circumferential thickening of intima with various echo patterns and echolucent circumferential thickened media, may help in the diagnosis of FMD involving coronary arteries.
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spelling pubmed-98084572023-01-05 A rare case of fibromuscular dysplasia with multifocal coronary artery involvement evaluated by intravascular ultrasound Sakuma, Yuya Nakazato, Kazuhiko Shimizu, Takeshi Ikeda, Ayano Ohara, Himika Kobayashi, Atsushi Yamaki, Takayoshi Ishida, Takafumi Takeishi, Yasuchika J Cardiol Cases Case Report Fibromuscular dysplasia (FMD) is non-atherosclerotic, non-inflammatory vascular disease that results in arterial stenosis. The lesions in FMD are commonly found in the renal and extracranial carotid and vertebral arteries, but the prevalence of FMD with lesions in the coronary artery is unclear. Although the vascular morphology of coronary artery lesion in FMD is mostly dissection, the following case of FMD showed the stenotic and aneurysmal lesions in coronary arteries, which was treated by percutaneous coronary angioplasty. Several vascular imaging modalities including computed tomographic angiography and catheter angiography are used for diagnosing FMD, however, the intravascular ultrasound (IVUS) imaging of the coronary artery in FMD has not been well studied. Here we describe a rare case of FMD involving multifocal coronary artery lesions with coronary aneurysm which was evaluated by IVUS imaging. LEARNING OBJECTIVE: The vascular morphologies of coronary artery lesion in fibromuscular dysplasia (FMD) mostly appear as coronary dissection, however, multifocal stenotic and aneurysmal lesions can occur in coronary arteries in FMD as the following case shows. The intravascular ultrasound findings of the stenotic coronary lesions in FMD, that were circumferential thickening of intima with various echo patterns and echolucent circumferential thickened media, may help in the diagnosis of FMD involving coronary arteries. Japanese College of Cardiology 2022-10-05 /pmc/articles/PMC9808457/ /pubmed/36618844 http://dx.doi.org/10.1016/j.jccase.2022.09.011 Text en © 2022 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Sakuma, Yuya
Nakazato, Kazuhiko
Shimizu, Takeshi
Ikeda, Ayano
Ohara, Himika
Kobayashi, Atsushi
Yamaki, Takayoshi
Ishida, Takafumi
Takeishi, Yasuchika
A rare case of fibromuscular dysplasia with multifocal coronary artery involvement evaluated by intravascular ultrasound
title A rare case of fibromuscular dysplasia with multifocal coronary artery involvement evaluated by intravascular ultrasound
title_full A rare case of fibromuscular dysplasia with multifocal coronary artery involvement evaluated by intravascular ultrasound
title_fullStr A rare case of fibromuscular dysplasia with multifocal coronary artery involvement evaluated by intravascular ultrasound
title_full_unstemmed A rare case of fibromuscular dysplasia with multifocal coronary artery involvement evaluated by intravascular ultrasound
title_short A rare case of fibromuscular dysplasia with multifocal coronary artery involvement evaluated by intravascular ultrasound
title_sort rare case of fibromuscular dysplasia with multifocal coronary artery involvement evaluated by intravascular ultrasound
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9808457/
https://www.ncbi.nlm.nih.gov/pubmed/36618844
http://dx.doi.org/10.1016/j.jccase.2022.09.011
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