Images in the Medical Sciences
Polyarteritis Nodosa With Multiple Coronary Aneurysms Presenting as Acute Myocardial Infarction

https://doi.org/10.1097/MAJ.0b013e3181e2e9d8Get rights and content

Section snippets

CLINICAL PRESENTATION

A 29-year-old woman was admitted to hospital with chest pain and joint pain. Electrocardiography revealed ST-segment depression in leads V4 to V6. Coronary arteriogram demonstrated numerous aneurysms involving both the epicardial and intramyocardial segments of the left anterior descending, circumflex and right coronary arteries, and the right coronary artery was occluded (Figure 1). In addition, angiography of the renal, abdominal aorta, superior mesenteric artery and lower extremity arteries

REFERENCES (2)

  • D. Holsinger et al.

    The heart in polyarteritis nodosa

    Circulation

    (1962)
  • D. Kastner et al.

    Polyarteritis nodosa and myocardial infarction

    Can J Cardiol

    (2000)

Cited by (12)

  • Diffuse aneurysmal disease - A review

    2014, Reviews in Vascular Medicine
    Citation Excerpt :

    An essential component of histopathology is necrotizing inflammation of medium-size or small arteries without glomerulonephritis or vasculitis in arterioles, capillaries or venules [103]. PAN-associated aneurysmal disease can be present in up to 94% of patients [104], and has been described in the cerebral, coronary, celiac, hepatic, and renal arteries [104–108], but no reports of aortic involvement or diffuse disease across multiple territories exist. One of the most characteristic findings on angiography is multiple saccular aneurysms resulting from pan-necrosis of the internal elastic lamina of the medium and small arteries, tending to occur at branching points of affected arteries, with a predisposition for the kidneys and liver [104].

  • South African flag sign to a giant coronary artery aneurysm

    2024, European Heart Journal - Case Reports
  • Cardiac involvement in the adult primary vasculitides

    2020, Expert Review of Clinical Immunology
View all citing articles on Scopus
View full text