继发于igg4相关性冠状动脉周围炎的严重三支血管疾病。

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiac Surgery Pub Date : 2022-12-01 DOI:10.1111/jocs.17187

Guillaume Goudot, Mounica Yanamandala, Richard Mitchell, George Tolis, Marie-Denise Gerhard Herman

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引用次数: 1

摘要

背景:免疫球蛋白g4相关疾病是一种罕见的全身性炎症性疾病，可导致动脉周围炎等血管表现。病例介绍:一名41岁男性，因三支血管冠状动脉疾病，被推荐进行冠状动脉搭桥手术。结论:手术结果显示明显的粘连和密集的冠状动脉周围和主动脉周围增厚，也累及左侧乳腺内动脉。经主动脉病理证实为igg4相关疾病。强的松和利妥昔单抗治疗后应激性心绞痛得到改善。

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Severe triple vessel disease secondary to IgG4-related coronary periarteritis.

Background: Immunoglobulin G4-related disease is a rare systemic inflammatory disease that can lead to vascular manifestations such as periarteritis.

Case presentation: A 41-year-old man with stress angina was referred for coronary bypass surgery due to triple vessel coronary disease.

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.

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来源期刊

Journal of Cardiac Surgery 医学-外科

CiteScore

2.90

自引率

12.50%

发文量

976

审稿时长

3-8 weeks

期刊介绍： Journal of Cardiac Surgery (JCS) is a peer-reviewed journal devoted to contemporary surgical treatment of cardiac disease. Renown for its detailed "how to" methods, JCS''s well-illustrated, concise technical articles, critical reviews and commentaries are highly valued by dedicated readers worldwide. With Editor-in-Chief Harold Lazar, MD and an internationally prominent editorial board, JCS continues its 20-year history as an important professional resource. Editorial coverage includes biologic support, mechanical cardiac assist and/or replacement and surgical techniques, and features current material on topics such as OPCAB surgery, stented and stentless valves, endovascular stent placement, atrial fibrillation, transplantation, percutaneous valve repair/replacement, left ventricular restoration surgery, immunobiology, and bridges to transplant and recovery. In addition, special sections (Images in Cardiac Surgery, Cardiac Regeneration) and historical reviews stimulate reader interest. The journal also routinely publishes proceedings of important international symposia in a timely manner.