Aortitis-related isolated bilateral coronary artery ostial stenosis in a young woman with acute coronary syndrome

Rigatelli, Gianluca; Zuin, Marco; Picariello, Claudio; Cardaioli, Paolo; Roncon, Loris

doi:10.1016/j.ijcard.2016.08.096

Cited by 3 publications

(4 citation statements)

References 6 publications

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“… No new coronary lesions. Rigatelli G, 2016 [ 22 ] 41 F Stenosis of LMCA and RCA. Ostial LMCA: paclitaxel-eluting stent; RCA: paclitaxel-eluting stent.…”

Section: Discussionmentioning

confidence: 99%

Restenosis after excimer laser coronary atherectomy and drug-coated balloon dilation in Takayasu’s arteritis: a case report and review of the literature

Liang

Yang

et al. 2023

Thrombosis J

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Takayasu’s arteritis (TAK) is a rare chronic granulomatous arteritis that mainly affects the aorta and its major branches. Coronary artery (CA) involvement can be observed in 10–25% of TAK patients. We report a 21-year-old young female who was previously diagnosed with TAK and severe left main coronary artery (LMCA) stenosis and underwent numerous percutaneous coronary interventions (PCIs) in our hospital due to in-stent restenosis (ISR). This time, an excimer laser coronary atherectomy (ELCA) and drug-coated balloon (DCB) dilation was taken at the LMCA for the ISR. The blood flow was smooth after the operation, and she was symptom-free after discharge. Unfortunately, 5 months later, severe intimal hyperplasia was still seen in the stent of LMCA and left anterior descending (LAD) coronary artery. A coronary artery bypass graft surgery (CABG) was performed, and she has been symptom-free ever since. ELCA plus DCB is one of the novel ways we first reported. However, ensuring long-term inflammation control is equally important to restore blood flow. The combination of revascularization and anti-inflammation/immunosuppression is recommended to improve the outcomes of TAK patients with CA involvements.

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“… No new coronary lesions. Rigatelli G, 2016 [ 22 ] 41 F Stenosis of LMCA and RCA. Ostial LMCA: paclitaxel-eluting stent; RCA: paclitaxel-eluting stent.…”

Section: Discussionmentioning

confidence: 99%

Restenosis after excimer laser coronary atherectomy and drug-coated balloon dilation in Takayasu’s arteritis: a case report and review of the literature

Liang

Yang

et al. 2023

Thrombosis J

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“…In addition, collateral circulation from ipsilateral or contralateral vessels is absent in angiography findings (1,2). The etiology remains unclear, but Takayasu arteritis (8), syphilitic aortitis (9), and iatrogenic causes (10) have been reported before. Despite early atheroma, which originates from the aortic wall and encroaches on aorto- coronary junction, are considered to cause ostial stenosis (1,2).…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, unknown inflammatory process possibly involves aortocoronary junction and results in ostial stenosis (2,3). Previous studies have presented high rates of restenosis and in-hospital mortality in both stenting and endarterectomy of ostial lesion (8). Therefore, CABG is a reasonable option for revascularization to prevent from the atherosclerotic plaque disruption, and the platelet aggregation.…”

Section: Discussionmentioning

confidence: 99%

Robotic totally endoscopic coronary artery bypass for isolated ostial stenosis of the left coronary artery

et al. 2017

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Isolated ostial stenosis (IOS) is a rare disease that encroaches on aorto-coronary junction of uncertain etiology. All distal coronary vessels present normally. IOS occurs predominantly in premenopausal young women with few risk factors for atherosclerotic disease. Here, we report a 40-year-old woman who had experienced crescendo angina for 4 months. Surgical revascularization was achieved by robotic totally endoscopic coronary artery bypass (TECAB) with left internal thoracic artery (LITA) graft. She resumed her daily tasks without difficulties 1 week after the operation. Postoperative computed tomographic angiography disclosed good opacification of the LITA graft and distal runoff. Robotic TECAB is a potentially feasible alternative for IOS patients, particularly in premenopausal young woman, with obvious benefits of cosmetic appearance and speedy recovery.

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“…Aortitis involving the coronary arteries is rare [1,2]. Affected individuals may develop myocardial ischaemia due to stenosis of the coronary ostia and/or aortic valve (AV) regurgitation.…”

Section: Introductionmentioning

confidence: 99%

Coronary Artery Disease -Thinking Beyond Atherosclerosis

Townend¹

2018

JOCCT

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Aortitis-related isolated bilateral coronary artery ostial stenosis in a young woman with acute coronary syndrome

Cited by 3 publications

References 6 publications

Restenosis after excimer laser coronary atherectomy and drug-coated balloon dilation in Takayasu’s arteritis: a case report and review of the literature

Restenosis after excimer laser coronary atherectomy and drug-coated balloon dilation in Takayasu’s arteritis: a case report and review of the literature

Robotic totally endoscopic coronary artery bypass for isolated ostial stenosis of the left coronary artery

Coronary Artery Disease -Thinking Beyond Atherosclerosis

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