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Journal Articles Journal of Cardiac Surgery Year : 2022

Severe triple vessel disease secondary to IgG4‐related coronary periarteritis

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Abstract

Background: Immunoglobulin G4-related disease is a rare systemic inflammatory disease that can lead to vascular manifestations such as periarteritis. Case Presentation: A 41-year-old man with stress angina was referred for coronary bypass surgery due to triple vessel coronary disease. Conclusions: Operative findings revealed significant adhesions and dense pericoronary and periaortic thickening, also involving the left internal mammary artery. The IgG4-associated disease was confirmed by aortic pathology. The stress angina subsequently improved with the initiation of treatment with prednisone and rituximab.
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inserm-03879550 , version 1 (30-11-2022)

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Guillaume Goudot, Mounica Yanamandala, Richard Mitchell, George Tolis, Marie‐denise Gerhard Herman. Severe triple vessel disease secondary to IgG4‐related coronary periarteritis. Journal of Cardiac Surgery, 2022, Online ahead of print. ⟨10.1111/jocs.17187⟩. ⟨inserm-03879550⟩

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