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

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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 languageEnglish
Pages (from-to)1088.e7-1088.e10
JournalCanadian Journal of Cardiology
Volume34
Issue number8
DOIs
Publication statusPublished - Aug 1 2018

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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