Rapidly Progressive Coronary Aneurysm

Tiago Rodrigues, I 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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