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Canadian Journal of Cardiology
Case Report| Volume 32, ISSUE 12, P1574.e11-1574.e13, December 2016

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Percutaneous Coronary Intervention in a Patient With Severe Systemic Vasculitis and Myocardial Infarction

Published:January 21, 2016DOI:https://doi.org/10.1016/j.cjca.2016.01.011

      Abstract

      A 72-year-old woman presented with acute coronary syndrome. There was diffuse coronary ectasia and severe stenosis in the proximal left anterior descending artery consistent with coronary vasculitis. Despite treatment with high-dose immunosuppression, she underwent percutaneous coronary intervention for refractory angina.

      Résumé

      Il s’agit du cas d’une femme de 72 ans atteinte d’un syndrome coronarien aigu avec ectasie diffuse et sténose importante de la portion proximale de l’artère interventriculaire antérieure concordant avec une vascularite coronarienne. La patiente a reçu une importante dose d’un agent immunosuppresseur, mais a tout de même dû subir une intervention coronarienne percutanée en raison d’une angine réfractaire.
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