COVID-19导致冠状动脉血管炎的罕见表现。

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Case Reports in Cardiology Pub Date : 2024-01-30 eCollection Date: 2024-01-01 DOI:10.1155/2024/8976833

Ahmed Hassaan Qavi, Soban Ahmad, Neeraj N Shah, Rony Shammas

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引用次数: 0

摘要

本病例是一名 59 岁的非裔美国女性，患有终末期肾病（ESRD），因胸部不适到急诊科就诊。她六个月前做过冠状动脉造影，结果显示心外膜冠状动脉没有闭塞性疾病。她的肌钙蛋白 I 水平升高，超声心动图显示新的区域室壁运动异常。她的 SARS-CoV-2 呈阳性。经过多学科团队会诊后，她接受了另一次冠状动脉造影检查，结果显示出现了新的严重多血管骨膜病变和左冠状动脉主动脉瘤。根据她的临床表现、血管造影结果和阴性的自身免疫检查结果，怀疑她患有与 COVID-19 相关的冠状动脉血管炎。该患者成功接受了冠状动脉旁路移植手术，术后恢复良好，未出现并发症。

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Rare Manifestation of COVID-19 Resulting in Coronary Artery Vasculitis.

We present the case of a 59-year-old African American female with end-stage renal disease (ESRD) who presented to the emergency department with chest discomfort. She had a coronary angiogram six months ago that showed no occlusive epicardial coronary artery disease. She had elevated troponin I levels and new regional wall motion abnormalities on echocardiogram. Her SARS-CoV-2 returned positive. After a multidisciplinary team approach, she underwent another coronary angiogram that showed new severe multivessel ostial lesions and a left main coronary artery aneurysm. COVID-19-related coronary artery vasculitis was suspected based on her clinical presentation, angiogram findings, and negative autoimmune workup. The patient underwent successful coronary artery bypass grafting and recovered without complications.

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来源期刊

Case Reports in Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Case Reports in Cardiology is a peer-reviewed, Open Access journal that publishes case reports and case series related to hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease and cardiomyopathy.