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Immunoglobulin G4-related multiple cardiovascular lesions successfully treated with a combination of open surgery and corticosteroid therapy
- Source :
- Journal of vascular surgery. 61(6)
- Publication Year :
- 2013
-
Abstract
- Immunoglobulin G4-related disease, a newly emerging systemic autoimmune disorder, can potentially involve the cardiovascular system. The standard treatment for immunoglobulin G4-related cardiovascular disease has not been established. We encountered a very rare case of an immunoglobulin G4-related inflammatory abdominal aortic aneurysm coexisting with a coronary artery aneurysm and periarteritis. The patient underwent surgical resection for the abdominal aortic aneurysm, followed by successful corticosteroid therapy for the coronary artery lesions. This is the first report of steroid-sensitive immunoglobulin G4-related coronary artery disease. A carefully planned treatment strategy for the multiple cardiovascular lesions was invaluable in the present case.
- Subjects :
- Male
medicine.medical_specialty
Biopsy
Aortography
Autoimmune Diseases
Coronary artery disease
Aortic aneurysm
Blood Vessel Prosthesis Implantation
Adrenal Cortex Hormones
medicine
Humans
Aged
Coronary artery aneurysm
Arteritis
medicine.diagnostic_test
business.industry
Standard treatment
Coronary Aneurysm
medicine.disease
Combined Modality Therapy
Immunohistochemistry
Abdominal aortic aneurysm
Surgery
medicine.anatomical_structure
Treatment Outcome
Immunoglobulin G
cardiovascular system
Cardiology and Cardiovascular Medicine
business
Tomography, X-Ray Computed
Biomarkers
Immunosuppressive Agents
Abdominal surgery
Artery
Aortic Aneurysm, Abdominal
Subjects
Details
- ISSN :
- 10976809
- Volume :
- 61
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of vascular surgery
- Accession number :
- edsair.doi.dedup.....f32a00685c3732fe95ce6279f2682e44