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- Aureliano Ruggio, Antonio Iaconelli, Elena Panaioli, Filippo Bernardini, Giovanni Tinelli, Giancarlo Savino, Fabio Infusino, Lucia Leccisotti, Raffaele Manna, and Filippo Crea.
- Department of Cardiovascular and Thoracic Sciences, Catholic University of the Sacred Heart, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy. Electronic address: aurelianoruggio@gmail.com.
- Can J Cardiol. 2018 Aug 1; 34 (8): 1088.e7-1088.e10.
AbstractWe report the case of a 65-year-old man referred to our department because of a complex coronary aneurysmal disease presenting as subacute ST-segment elevation myocardial infarction due to intraluminal thromboembolism. The patient's past medical history (recurrent episodes of lymphadenopathies, parotid swelling, prostatitis, and dacryoadenitis) raised the suspicion of a unifying systemic disorder with coronary involvement. An extensive infectious and autoimmune screening was performed, leading to the final diagnosis of IgG4-related disease. Our case highlights the importance to include this rare and recently described disease in the diagnostic workup of acquired coronary aneurysms.Copyright © 2018 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
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