Percutaneous Coronary Intervention in a Patient With Severe Systemic Vasculitis and Myocardial Infarction

Can J Cardiol. 2016 Dec;32(12):1574.e11-1574.e13. doi: 10.1016/j.cjca.2016.01.011. Epub 2016 Jan 21.

Abstract

A 72-year-old woman presented with acute coronary syndrome. There was diffuse coronary ectasia and severe stenosis in the proximal left anterior descending artery consistent with coronary vasculitis. Despite treatment with high-dose immunosuppression, she underwent percutaneous coronary intervention for refractory angina.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Computed Tomography Angiography / methods
  • Coronary Angiography / methods
  • Coronary Stenosis* / diagnosis
  • Coronary Stenosis* / etiology
  • Coronary Stenosis* / physiopathology
  • Coronary Stenosis* / therapy
  • Coronary Vessels* / diagnostic imaging
  • Coronary Vessels* / pathology
  • Cyclophosphamide / administration & dosage*
  • Electrocardiography / methods
  • Female
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Myocardial Infarction* / diagnosis
  • Myocardial Infarction* / etiology
  • Myocardial Infarction* / physiopathology
  • Myocardial Infarction* / therapy
  • Percutaneous Coronary Intervention / methods*
  • Prednisone / administration & dosage*
  • Systemic Vasculitis* / complications
  • Systemic Vasculitis* / diagnosis
  • Systemic Vasculitis* / drug therapy
  • Systemic Vasculitis* / physiopathology
  • Treatment Outcome

Substances

  • Immunosuppressive Agents
  • Cyclophosphamide
  • Prednisone