A Case of Coronary Arteritis and Myocardial Involvement With Associated IgG4-Related Disease

Kenichiro Suwa, MD; Noriyoshi Ogawa, MD; Nobuko Yoshizawa, MD; Mayu Fujihiro, MD; Atsushi Sakamoto, MD; Hayato Ohtani, MD; Masao Saotome, MD; Yuichiro Maekawa, MD

JACC: Case Reports (May 2023)

A Case of Coronary Arteritis and Myocardial Involvement With Associated IgG4-Related Disease

Kenichiro Suwa, MD,
Noriyoshi Ogawa, MD,
Nobuko Yoshizawa, MD,
Mayu Fujihiro, MD,
Atsushi Sakamoto, MD,
Hayato Ohtani, MD,
Masao Saotome, MD,
Yuichiro Maekawa, MD

Affiliations

Kenichiro Suwa, MD: Division of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Shizuoka, Japan; Address for correspondence: Dr Kenichiro Suwa, Division of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashiku Hamamatsu, Shizuoka 431-3192, Japan.
Noriyoshi Ogawa, MD: Division of Rheumatology, Internal Medicine 3, Hamamatsu University School of Medicine, Shizuoka, Japan
Nobuko Yoshizawa, MD: Department of Radiology, Hamamatsu University School of Medicine, Shizuoka, Japan
Mayu Fujihiro, MD: Department of Diagnostic Pathology, Hamamatsu University School of Medicine, Shizuoka, Japan
Atsushi Sakamoto, MD: Division of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Shizuoka, Japan
Hayato Ohtani, MD: Division of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Shizuoka, Japan
Masao Saotome, MD: Division of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Shizuoka, Japan
Yuichiro Maekawa, MD: Division of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Shizuoka, Japan

Journal volume & issue: Vol. 14
p. 101843

Abstract

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A 56-year-old male subject with bilateral eyelid swelling was diagnosed with an immunoglobulin G4–related disease. After whole-body surveillance, concomitant coronary arteritis with a mural thrombus and myocardial involvement were observed. In this case, multimodal diagnostic imaging assessment led to the diagnosis of both coronary arteritis and myocardial fibrosis associated with immunoglobulin G4–related disease. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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