Rapidly Progressive Coronary Aneurysm: A Rare Case of Isolated Coronary Vasculitis With Recurrent Myocardial Infarction

Tiago Rodrigues, Inês Aguiar-Ricardo,Miguel Nobre Menezes, Joana Rigueira,Rafael Santos,Valter Fonseca,Fausto J. Pinto,Ana G. Almeida

JACC: Case Reports（2022）

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摘要

Isolated coronary arteritis without systemic involvement in adults is exceedingly rare. A 60-year-old patient developed recurrent non–ST-segment elevation myocardial infarctions for 1 year. After an initial coronary angiogram that was normal, serial angiograms showed de novo aneurysm formation. The patient responded favorably to corticosteroids, supporting the diagnosis of isolated coronary arteritis. (Level of Difficulty: Intermediate.)

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关键词

coronary aneurysms,coronary vasculitis,recurrent myocardial infarction,myocardial infarction without obstructive coronary artery disease (MINOCA)

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