DOI QR코드

DOI QR Code

Polyarteritis Nodosa Complicated by Chronic Total Occlusion Accompanying Aneurysms on All Coronary Arteries

  • Chung, Doo-Cheol (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center) ;
  • Choi, Jung-Eun (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center) ;
  • Song, Yong-Keun (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center) ;
  • Lim, Ah-Leum (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center) ;
  • Park, Kyoung-Ha (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center) ;
  • Choi, Young-Jin (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center)
  • 발행 : 2012.08.31

초록

Polyarteritis nodosa (PAN) is characterized by inflammatory necrosis of medium sized arteries. PAN can also be associated with stenosis or aneurysm of the coronary artery. However, the involvement of PAN at a coronary artery is usually asymptomatic, which makes it difficult to diagnose. In addition, all of the three main coronary arteries involved with chronic total occlusion (CTO) is a rare finding in patients with PAN. We report a patient that presented with PAN complicated by CTO and aneurysms of three main coronary arteries, without typical symptoms of angina.

키워드

참고문헌

  1. Kastner D, Gaffney M, Tak T. Polyarteritis nodosa and myocardial infarction. Can J Cardiol 2000;16:515-8.
  2. Chu KH, Menapace FJ, Blankenship JC, Hausch R, Harrington T. Polyarteritis nodosa presenting as acute myocardial infarction with coronary dissection. Cathet Cardiovasc Diagn 1998;44:320-4. https://doi.org/10.1002/(SICI)1097-0304(199807)44:3<320::AID-CCD16>3.0.CO;2-O
  3. Kobayashi H, Yokoe I, Hattan N, Ohta H, Nakajima Y, Kobayashi Y. Cardiac magnetic resonance imaging in polyarteritis nodosa. J Rheumatol 2010;37:2427-9. https://doi.org/10.3899/jrheum.100450
  4. Pick RA, Glover MU, Vieweg WV. Myocardial infarction in a young woman with isolated coronary arteritis. Chest 1982;82:378-80. https://doi.org/10.1378/chest.82.3.378
  5. Chang HJ, Yoon YS, Kim BK, et al. Polyarteritis nodosa presenting as acute myocardial infarction. Korean Circ J 2000;30:227-31. https://doi.org/10.4070/kcj.2000.30.2.227
  6. Holsinger DR, Osmundson PJ, Edwards JE. The heart in periarteritis nodosa. Circulation 1962;25:610-8. https://doi.org/10.1161/01.CIR.25.4.610

피인용 문헌

  1. Coronary Artery Bypass Grafting in a Patient with Polyarteritis Nodosa Presenting with Acute Myocardial Infarction and Multiple Coronary Aneurysms vol.20, pp.suppl, 2012, https://doi.org/10.5761/atcs.cr.13-02276
  2. Noncoronary Collateral Myocardial Blood Flow: The Human Heart’s Forgotten Blood Supply vol.9, pp.None, 2015, https://doi.org/10.2174/1874192401509010105
  3. Spectrum of Coronary Artery Aneurysms: From the Radiologic Pathology Archives vol.38, pp.1, 2012, https://doi.org/10.1148/rg.2018170175
  4. Coronary artery bypass using bilateral internal thoracic artery grafts in polyarteritis nodosa vol.36, pp.8, 2012, https://doi.org/10.1111/jocs.15619
  5. Insidious coronary artery disease in a young patient with polyarteritis nodosa: a case report and literature review vol.21, pp.1, 2012, https://doi.org/10.1186/s12872-021-01923-9