Antineutrophil Cytoplasmic Antibody Vasculitis after Coronary Artery Bypass Grafting.

Autor: Harris DD; Division of Cardiothoracic Surgery Department of Surgery Cardiovascular Research Center, Rhode Island Hospital Rhode Island Hospital Alpert Medical School of Brown University, Providence, Rhode Island, USA., Sabe SA; Division of Cardiothoracic Surgery Department of Surgery Cardiovascular Research Center, Rhode Island Hospital Rhode Island Hospital Alpert Medical School of Brown University, Providence, Rhode Island, USA., Ehsan A; Division of Cardiothoracic Surgery Department of Surgery Cardiovascular Research Center, Rhode Island Hospital Rhode Island Hospital Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Jazyk: angličtina
Zdroj: Case reports in surgery [Case Rep Surg] 2024 Aug 12; Vol. 2024, pp. 1212538. Date of Electronic Publication: 2024 Aug 12 (Print Publication: 2024).
DOI: 10.1155/2024/1212538
Abstrakt: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis is a group of rare autoimmune disorders associated with the presence of ANCA autoantibodies. We present the first reported case of acute ANCA-associated vasculitis following coronary artery bypass grafting in a 74-year-old male presenting on postoperative day 13 with shortness of breath, orthopnea, and acute kidney injury. Renal biopsy ultimately showed focal necrotizing and crescentic glomerulonephritis, and the patient was successfully managed with corticosteroids and outpatient rituximab. This rare case highlights the importance of having an expanded differential for uncommon causes of cardiovascular disease and unexpected outcomes after coronary artery bypass grafting.
Competing Interests: The authors have no conflicts of interest to disclose.
(Copyright © 2024 Dwight D. Harris et al.)
Databáze: MEDLINE
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