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[Coronary arteritis and its clinical significance]
K Tersíp1, J Capek, J Lichtenberg
1I. chirurgická klinika 1. lékaské fakulty Univerzity Karlovy, Praha.
Insights
This case report details a fatal case of arteritis in a middle-aged man, highlighting the need to consider this condition in patients with coronary ischemia and atherosclerosis risk factors.
Area of Science:
- Cardiovascular Pathology
- Vascular Inflammation
- Clinical Case Study
Background:
- A 47-year-old man with angina pectoris and myocardial infarction history presented with left ventricular insufficiency post-revascularization.
- Necropsy revealed extensive arteritis affecting coronary, intramyocardial, lienal, and renal pelvic arteries, alongside aortitis.
Abstract:
The authors submit a report on a 47-year-old man with the syndrome of angina pectoris and history of myocardial infarction who died after a revascularization operation of the heart from left ventricular insufficiency. On necropsy extensive arteritis of the coronary vessels with aortitis was revealed and with arteritis of the small intramyocardial and lienal arteries and arteries in the renal pelvis. They describe in detail the histological finding on the blood vessels, and consistent with some data in the literature, they assume that this disease forms a separate unit. It must be considered in particular in middle-aged men who have signs of coronary ischaemia and risk factors suggesting atherosclerosis, not occur in the case-history.