Granulomatosis with Polyangiitis Presenting with Coronary Artery and Pericardial Involvement
Joint Authors
Dewan, Rohit
Trejo Bittar, Humberto E.
Lacomis, Joan
Ocak, Iclal
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Granulomatosis with polyangiitis is a systemic disease resulting in necrotizing vasculitis of small- and medium-sized vessels.
Cardiac involvement is rare and when present usually manifests with pericarditis and coronary artery vasculitis.
We report here a case of granulomatosis with polyangiitis involving the native coronary arteries, bypass graft, and pericardium with interesting imaging findings on contrast-enhanced CT and MRI.
A 57-year-old man with a history of chronic headaches presented to the emergency room with syncope.
Contrast-enhanced CT demonstrated extensive soft tissue attenuation around the native coronary arteries and bypass graft.
Contrast-enhanced MRI demonstrated enhancing nodular soft tissue surrounding the coronary arteries, bypass graft, and pericardium.
Pericardial biopsy revealed a necrotizing granulomatous pericarditis with vasculitis concerning for granulomatosis with polyangiitis.
The patient demonstrated MPO-positive and PR-3 negative serologies.
After being discharged on rituximab and prednisone, follow-up CT 3 years later showed significant improvement of the soft tissue thickening surrounding the coronary arteries, bypass graft, and pericardium.
American Psychological Association (APA)
Dewan, Rohit& Trejo Bittar, Humberto E.& Lacomis, Joan& Ocak, Iclal. 2015. Granulomatosis with Polyangiitis Presenting with Coronary Artery and Pericardial Involvement. Case Reports in Radiology،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059921
Modern Language Association (MLA)
Dewan, Rohit…[et al.]. Granulomatosis with Polyangiitis Presenting with Coronary Artery and Pericardial Involvement. Case Reports in Radiology No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059921
American Medical Association (AMA)
Dewan, Rohit& Trejo Bittar, Humberto E.& Lacomis, Joan& Ocak, Iclal. Granulomatosis with Polyangiitis Presenting with Coronary Artery and Pericardial Involvement. Case Reports in Radiology. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059921
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059921