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Multiple cardiovascular involvement in a case of relapsing polychondritis
D Sasirekha1, N A Meenakshi, J M Thomas
1International Center for Cardiothoracic and Vascular Diseases, (a unit of Frontier Lifeline Pvt. Ltd), Chennai.
The Journal of the Association of Physicians of India
|January 12, 2007
Summary
Relapsing polychondritis can affect the heart, causing rare but serious cardiovascular issues. This case highlights myocardial infarction from coronary ostial stenosis following aortic valve replacement.
Area of Science:
- Rheumatology
- Cardiology
- Pathology
Background:
- Relapsing polychondritis is a rare multisystem disease.
- Cartilage inflammation is its hallmark.
- Cardiovascular involvement is uncommon but life-threatening.
Observation:
- A patient with relapsing polychondritis underwent aortic valve replacement.
- The patient presented six months post-surgery with myocardial infarction.
- Diagnosis revealed bilateral coronary ostial stenosis.
Findings:
- Coronary ostial stenosis caused myocardial infarction in this patient.
- This complication occurred despite an initially successful aortic valve replacement.
- Relapsing polychondritis can lead to progressive cardiovascular complications.
Implications:
- Early recognition of cardiovascular risks in relapsing polychondritis is crucial.
- Monitoring for coronary ostial stenosis is important in affected patients.
- Further research into cardiac manifestations of relapsing polychondritis is warranted.
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