Coronary Artery Bypass Grafting in a Patient with Polyarteritis Nodosa Presenting with Acute Myocardial Infarction and Multiple Coronary Aneurysms

Kawajiri, Hidetake; Koh, Eisei; Masuda, Noriyasu; Kira, Hiromasa; Yamasaki, Takuma

doi:10.5761/atcs.cr.13-02276

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…There has been 1 report in which CABG for PAN was performed using SVG alone [3]. There have been 2 reports in which CABG for PAN was performed using the LITA and SVG [4,5]. The reported short-term results were good, but the long-term patency was unknown.…”

Section: Commentmentioning

confidence: 99%

Coronary Artery Bypass Grafting in a Patient With Polyarteritis Nodosa

Yamamoto

Iino

Ueda

et al. 2017

The Annals of Thoracic Surgery

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Section: Commentmentioning

confidence: 99%

Coronary Artery Bypass Grafting in a Patient With Polyarteritis Nodosa

Yamamoto

Iino

Ueda

et al. 2017

The Annals of Thoracic Surgery

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“…Coronary artery bypass grafting (CABG) using a saphenous vein graft was ever tried without any medications. CABG using left internal mammary artery together with saphenous vein graft was also reported in 2 PAN cases [ 13 , 21 ]. Although the short-term efficacy of these interventions was good, the long-term outcome of CABG was unknown.…”

Section: Discussionmentioning

confidence: 99%

Insidious coronary artery disease in a young patient with polyarteritis nodosa: a case report and literature review

Gong

Guo

Zhang

2021

BMC Cardiovasc Disord

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Background Polyarteritis nodosa (PAN) is a relatively rare systemic necrotizing vasculitis that typically affects medium-sized arteries. Although myocardial ischemia may occur due to involvement of the coronary arteries, overt myocardial infarction is uncommon. Case presentation A 22-year-old Chinese man experiencing chest pain for 7 months was admitted to our hospital. Consistently, the pain tended to last for a few minutes and then spontaneously subside. He had 7-year history of “stable” PAN. Coronary angiography revealed slight plaque infiltration of the left main coronary artery; however occlusion of all the three major coronary arteries with multiple aneurysms. A stent was implanted into the obtuse margin branch artery which was 95% stenosis, and then the chest pain was alleviated. Considering that the occlusion of coronary arteries was due to insidious vasculitis, prednisone 50 mg/day and methotrexate 15 mg/week were reinitiated, in combination with anti-angina medications. Conclusions We report a young patient with insidious occlusion of three main coronary arteries under the circumstance of stable PAN for 7 years, suggesting the necessity of assessing the heart, in spite of normal acute phase reactants. The appropriate screening strategy needs to be studied.

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“…More than a dozen cases of PAN and myocardial infarction are reported in the literature. The first described mechanism is coronary occlusion or thrombosis, mainly in the right coronary, circumflex, and AIVAs, coupled with stenoses and/or coronary aneurysms (1,(13)(14)(15)(16)(17)(18). Coronary spasm seems to be another possibility.…”

Section: Discussionmentioning

confidence: 99%

Sudden Death Due to Coronary Arteritis

Gabarrou

Guilbeau‐Frugier

Blanc

et al. 2017

Journal of Forensic Sciences

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We report the case of a middle-aged man, without medical history, who suddenly died at his workplace. The autopsy highlighted a pathological heart macroscopically, with multiple small white areas on the left myocardium. Coronary dissection revealed a pseudotumoural fibromyxoid aspect within the anterior interventricular artery (AIVA) and the left main coronary trunk, including reduction in their diameter with tight stenosis. Microscopic examination of these arteries showed fibroinflammatory wall destruction. In the left myocardium, there were multiple focal ischemic areas at different stages of recovery. Our case is an illustration of primary ischemic heart disease due to coronary arteritis, with a pseudotumoural presentation, which was revealed by sudden death. We discuss the cause of death and the etiological diagnosis preceding coronary arteritis.

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Coronary Artery Bypass Grafting in a Patient with Polyarteritis Nodosa Presenting with Acute Myocardial Infarction and Multiple Coronary Aneurysms

Cited by 8 publications

References 6 publications

Coronary Artery Bypass Grafting in a Patient With Polyarteritis Nodosa

Coronary Artery Bypass Grafting in a Patient With Polyarteritis Nodosa

Insidious coronary artery disease in a young patient with polyarteritis nodosa: a case report and literature review

Sudden Death Due to Coronary Arteritis

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Coronary Artery Bypass Grafting in a Patient with Polyarteritis Nodosa Presenting with Acute Myocardial Infarction and Multiple Coronary Aneurysms

Cited by 8 publications

References 6 publications

Coronary Artery Bypass Grafting in a Patient With Polyarteritis Nodosa

Coronary Artery Bypass Grafting in a Patient With Polyarteritis Nodosa

Insidious coronary artery disease in a young patient with polyarteritis nodosa: a case report and literature review

Sudden Death Due to Coronary Arteritis

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Insidious coronary artery disease in a young patient with polyarteritis nodosa: a case report and literature review