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Fibromuscular dysplasia involving coronary arteries--a case report
1Department of Cardiovascular Medicine, Hokkaido University School of Medicine, Sapporo, Japan.
Insights
Fibromuscular dysplasia can affect coronary arteries in young patients presenting with chest pain. Early consideration and diligent management are crucial due to its progressive nature.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Fibromuscular dysplasia (FMD) is a non-atherosclerotic vascular disease.
- FMD commonly affects renal and carotid arteries but can involve systemic arteries.
Observation:
- A case of FMD in a young patient involving multiple vessels, including the coronary arteries, is presented.
- The patient experienced chest pain on exertion, a key symptom.
Findings:
- Coronary artery fibromuscular dysplasia can manifest in young individuals.
- Multivessel involvement, including coronary arteries, highlights the systemic potential of FMD.
Implications:
- Consider coronary artery fibromuscular dysplasia in young patients with exertional chest pain.
- FMD is a chronic, progressive condition requiring careful monitoring and comprehensive management.
- Prompt diagnosis and intervention may be necessary given the potential for rapid progression.
Abstract:
The authors report a young patient with fibromuscular dysplasia involving multivessels including coronary arteries. If young patients have chest pain on effort, fibromuscular dysplasia of coronary arteries must be considered. As fibromuscular dysplasia is a chronic progressive disease and some cases progress rapidly in a few months, careful follow-up and comprehensive medical management may be necessary in such patients.