Sclerosing Aortic and Coronary Arteritis Due to IgG4-Related Disease

被引：11
作者：
Barbu, Mikael
Lindstrom, Ulf
Nordborg, Claes
Martinsson, Andreas
Dworeck, Christian
Jeppsson, Anders [1 ]
机构：
[1] Sahlgrens Univ Hosp, Dept Cardiothorac Surg, SE-41345 Gothenburg, Sweden
来源：
ANNALS OF THORACIC SURGERY | 2017年 / 103卷 / 06期
关键词：
CONSENSUS STATEMENT; PATHOLOGY;
D O I：
10.1016/j.athoracsur.2016.12.048
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We present the case of a 55-year-old woman admitted for a coronary artery bypass operation because of three-vessel coronary artery disease based on angiographic findings and clinical symptoms. Unexpected intra-operative findings with diffuse tissue thickening of the ascending aorta and coronary arteries indicated an alternate pathogenesis rather than coronary artery atherosclerosis. Histopathologic findings and clinical evaluation could confirm IgG4-related disease (IgG4-RD). IgG4-RD is a newly recognized fibroinflammatory condition that can present in a variety of organs and is characterized by common histopathologic features. Low disease awareness among clinicians makes this condition underdiagnosed. (C) 2017 by The Society of Thoracic Surgeons
引用
收藏
页码：E487 / E489
页数：3
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