Immunoglobulin G4-Related Multiple Giant Coronary Artery Aneurysms and a Single Left Gastric Artery Aneurysm

Hiroyuki Yamamoto, MD, PhD; Yujiro Ito, MD; Jun Isogai, MD; Hatsue Ishibashi-Ueda, MD, PhD; Yoshitsugu Nakamura, MD, PhD

JACC: Case Reports (May 2020)

Immunoglobulin G4-Related Multiple Giant Coronary Artery Aneurysms and a Single Left Gastric Artery Aneurysm

Hiroyuki Yamamoto, MD, PhD,
Yujiro Ito, MD,
Jun Isogai, MD,
Hatsue Ishibashi-Ueda, MD, PhD,
Yoshitsugu Nakamura, MD, PhD

Affiliations

Hiroyuki Yamamoto, MD, PhD: Department of Cardiovascular Medicine, Narita-Tomisato Tokushukai Hospital, Chiba, Japan; Address for correspondence: Dr. Hiroyuki Yamamoto, Department of Cardiovascular Medicine, Narita-Tomisato Tokushukai Hospital, 1-1-1 Hiyoshidai, Tomisato, Chiba 286-0201, Japan.
Yujiro Ito, MD: Department of Cardiovascular Surgery, Chiba-Nishi General Hospital, Matsudo, Japan
Jun Isogai, MD: Department of Radiology, Asahi General Hospital, Asahi, Japan
Hatsue Ishibashi-Ueda, MD, PhD: Department of Pathology, National Cerebral and Cardiovascular Center, Suita, Japan
Yoshitsugu Nakamura, MD, PhD: Department of Cardiovascular Surgery, Chiba-Nishi General Hospital, Matsudo, Japan

Journal volume & issue: Vol. 2, no. 5
pp. 769 – 774

Abstract

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Coronary artery aneurysm (CAA) is potentially life-threatening. We describe a case of multiple giant CAAs and a single left gastric artery aneurysm caused by immunoglobulin G4-related disease (IgG4-RD). Our case highlights the significance of assessing IgG4-RD in the diagnosis of CAA and screening for other concurrent cardiovascular involvements. (Level of Difficulty: Intermediate.)

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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