Severe triple vessel disease secondary to IgG4-related coronary periarteritis.
IgG4-related disease
coronary artery disease
coronary vasculitis
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
06
10
2022
accepted:
29
10
2022
pubmed:
16
11
2022
medline:
6
1
2023
entrez:
15
11
2022
Statut:
ppublish
Résumé
Immunoglobulin G4-related disease is a rare systemic inflammatory disease that can lead to vascular manifestations such as periarteritis. A 41-year-old man with stress angina was referred for coronary bypass surgery due to triple vessel coronary disease. Operative findings revealed significant adhesions and dense peri-coronary and periaortic thickening, also involving the left internal mammary artery. The IgG4-associated disease was confirmed by aortic pathology. The stress angina subsequently improved with the initiation of treatment with prednisone and rituximab.
Sections du résumé
BACKGROUND
BACKGROUND
Immunoglobulin G4-related disease is a rare systemic inflammatory disease that can lead to vascular manifestations such as periarteritis.
CASE PRESENTATION
METHODS
A 41-year-old man with stress angina was referred for coronary bypass surgery due to triple vessel coronary disease.
CONCLUSIONS
CONCLUSIONS
Operative findings revealed significant adhesions and dense peri-coronary and periaortic thickening, also involving the left internal mammary artery. The IgG4-associated disease was confirmed by aortic pathology. The stress angina subsequently improved with the initiation of treatment with prednisone and rituximab.
Substances chimiques
Immunoglobulin G
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
5468-5471Informations de copyright
© 2022 Wiley Periodicals LLC.
Références
Umehara H, Okazaki K, Masaki Y, et al. Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD), 2011. Mod. Rheumatol. 2012;22(1):21-30. doi:10.1007/s10165-011-0571-z
Umehara H, Okazaki K, Kawa S, et al. The 2020 revised comprehensive diagnostic (RCD) criteria for IgG4-RD. Mod Rheumatol. 2021;31(3):529-533. doi:10.1080/14397595.2020.1859710
Carruthers MN, Khosroshahi A, Augustin T, Deshpande V, Stone JH. The diagnostic utility of serum IgG4 concentrations in IgG4-related disease. Ann Rheum Dis. 2015;74(1):14-18. doi:10.1136/annrheumdis-2013-204907
de la Fuente J, Bird J. Coronary arteritis in IgG4-related disease. N Engl J Med. 2019;380(22):2156. doi:10.1056/nejmicm1809588
Karmally S, Pancholy B, Lau R, Raparia K, Pursnani S. IgG4-related disease: coronary arteritis masquerading as coronary “masses”. J Cardiovasc Comput Tomogr. 2022;16(3):e29-e30. doi:10.1016/j.jcct.2021.12.009