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

快速进展的冠状动脉动脉瘤 ： 罕见的孤立性冠状动脉血管炎与复发性心肌梗死。

• 发表时间: May 2022 4
• 来源期刊: JACC Case Rep
• DOI: 10.1016/j.jaccas.2022.02.022
• PMID: 35573846
• 文章类型: Case Reports
• 作者列表: Rodrigues T,Aguiar-Ricardo I,Menezes MN,Rigueira J,Santos R,Fonseca V,Pinto FJ,Almeida AG

关键词: CTA, computed tomographic angiography; DES, drug-eluting stent; LAD, left anterior descending artery; LM, left main; MINOCA, myocardial infarction without obstructive coronary artery disease; NSTEMI, non-ST-segment elevation myocardial infarction; PCI, percutaneous coronary intervention; coronary aneurysms; coronary vasculitis; myocardial infarction without obstructive coronary artery disease (MINOCA); recurrent myocardial infarction

Abstract

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.).

摘要

在成人中没有全身受累的孤立性冠状动脉炎极为罕见。一名60岁的患者发生了1年的复发性非ST段抬高性心肌梗塞。在最初的冠状动脉造影正常后，连续血管造影显示从头动脉瘤形成。患者对皮质类固醇反应良好，支持孤立性冠状动脉炎的诊断。（难度等级：中级。).