Isolated Antineutrophil Cytoplasmic Antibody-Associated Coronary Vasculitis and Valvulitis

Yoon Kook Kim, MD; Praveen Chekka, MD; Manu Mysore, MD; James Childress, MD; Maha Alfaraidhy, MD; Afton Thomas, DO; Bradley Taylor, MD; Jamal Mikdashi, MD; Stanley Liu, MD; Libin Wang, MD, PhD

JACC: Case Reports (Feb 2021)

Isolated Antineutrophil Cytoplasmic Antibody-Associated Coronary Vasculitis and Valvulitis

Yoon Kook Kim, MD,
Praveen Chekka, MD,
Manu Mysore, MD,
James Childress, MD,
Maha Alfaraidhy, MD,
Afton Thomas, DO,
Bradley Taylor, MD,
Jamal Mikdashi, MD,
Stanley Liu, MD,
Libin Wang, MD, PhD

Affiliations

Yoon Kook Kim, MD: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
Praveen Chekka, MD: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
Manu Mysore, MD: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
James Childress, MD: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
Maha Alfaraidhy, MD: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
Afton Thomas, DO: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
Bradley Taylor, MD: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
Jamal Mikdashi, MD: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
Stanley Liu, MD: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
Libin Wang, MD, PhD: Address for correspondence: Dr. Libin Wang, University of Maryland Department of Cardiology, 110 S. Paca Street, Baltimore, Maryland 21201, USA.; Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA

Journal volume & issue: Vol. 3, no. 2
pp. 309 – 313

Abstract

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A 30-year-old woman presented with angina pectoris. Coronary angiography revealed severe stenosis in the left main and right coronary arteries that did not improve with intracoronary nitroglycerin. Coronary computed tomography angiography and positron emission tomography revealed coronary ostia inflammation and aortic root fat stranding. She was diagnosed with vasculitis and valvulitis and received immunotherapy and coronary bypass. (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

About the journal

Abstract

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