Coronary Artery Aneurysms Presenting as Acute Coronary Syndrome: An Unusual Case of IgG4-Related Disease Vascular Involvement

Aureliano Ruggio; Antonio Iaconelli; Elena Panaioli; Filippo Bernardini; Giovanni Tinelli; Giancarlo Savino; Fabio Infusino; Lucia Leccisotti; Raffaele Manna; Filippo Crea

doi:10.1016/j.cjca.2018.04.026

Coronary Artery Aneurysms Presenting as Acute Coronary Syndrome: An Unusual Case of IgG4-Related Disease Vascular Involvement

Aureliano Ruggio, Antonio Iaconelli, Elena Panaioli, Filippo Bernardini, Giovanni Tinelli, Giancarlo Savino, Fabio Infusino, Lucia Leccisotti, Raffaele Manna, Filippo Crea

IRCCS Fondazione Policlinico Universitario A. Gemelli

Research output: Contribution to journal › Article › peer-review

Abstract

We report the case of a 65-year-old man referred to our department because of a complex coronary aneurysmal disease presenting as subacute ST-segment elevation myocardial infarction due to intraluminal thromboembolism. The patient's past medical history (recurrent episodes of lymphadenopathies, parotid swelling, prostatitis, and dacryoadenitis) raised the suspicion of a unifying systemic disorder with coronary involvement. An extensive infectious and autoimmune screening was performed, leading to the final diagnosis of IgG4-related disease. Our case highlights the importance to include this rare and recently described disease in the diagnostic workup of acquired coronary aneurysms.

Original language	English
Pages (from-to)	1088.e7-1088.e10
Journal	Canadian Journal of Cardiology
Volume	34
Issue number	8
DOIs	https://doi.org/10.1016/j.cjca.2018.04.026
Publication status	Published - Aug 1 2018

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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Coronary Artery Aneurysms Presenting as Acute Coronary Syndrome : An Unusual Case of IgG4-Related Disease Vascular Involvement. / Ruggio, Aureliano; Iaconelli, Antonio; Panaioli, Elena; Bernardini, Filippo; Tinelli, Giovanni; Savino, Giancarlo; Infusino, Fabio; Leccisotti, Lucia ; Manna, Raffaele ; Crea, Filippo.

In: Canadian Journal of Cardiology, Vol. 34, No. 8, 01.08.2018, p. 1088.e7-1088.e10.

Research output: Contribution to journal › Article › peer-review

Ruggio, A, Iaconelli, A, Panaioli, E, Bernardini, F, Tinelli, G, Savino, G, Infusino, F, Leccisotti, L , Manna, R & Crea, F 2018, 'Coronary Artery Aneurysms Presenting as Acute Coronary Syndrome: An Unusual Case of IgG4-Related Disease Vascular Involvement', Canadian Journal of Cardiology, vol. 34, no. 8, pp. 1088.e7-1088.e10. https://doi.org/10.1016/j.cjca.2018.04.026

Ruggio, Aureliano ; Iaconelli, Antonio ; Panaioli, Elena ; Bernardini, Filippo ; Tinelli, Giovanni ; Savino, Giancarlo ; Infusino, Fabio ; Leccisotti, Lucia ; Manna, Raffaele ; Crea, Filippo. / Coronary Artery Aneurysms Presenting as Acute Coronary Syndrome : An Unusual Case of IgG4-Related Disease Vascular Involvement. In: Canadian Journal of Cardiology. 2018 ; Vol. 34, No. 8. pp. 1088.e7-1088.e10.

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Coronary Artery Aneurysms Presenting as Acute Coronary Syndrome: An Unusual Case of IgG4-Related Disease Vascular Involvement

Abstract

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