Improvement of Mass Lesions around Coronary Arteries and Fractional Flow Reserve after Steroid Therapy in Immunoglobulin-G4-related Coronary Periarteritis

Autor:	Naoki, Kubota, Kazuyuki, Ozaki, Makoto, Hoyano, Takeshi, Okubo, Shinpei, Kimura, Takao, Yanagawa, Takeshi, Kashimura, Takayuki, Inomata
Rok vydání:	2022
Předmět:	Fractional Flow Reserve Myocardial Arteritis Immunoglobulin G Internal Medicine Humans Steroids General Medicine Coronary Vessels
Zdroj:	Internal Medicine. 61:351-356
ISSN:	1349-7235 0918-2918
Popis:	Immunoglobulin-G4-related disease (IgG4-RD) is a multi-organ systemic inflammatory disorder. The ideal treatment of coronary artery involvement in IgG4-RD remains uncertain due to its rarity. We herein report a case of coronary artery involvement with IgG4-RD, wherein mass lesions surrounded the coronary arteries with a moderate stenosis lesion in the right coronary artery (RCA). The fractional flow reserve (FFR) of the RCA was 0.76. After steroid therapy, the mass lesions around the coronary arteries improved. The FFR of the RCA also improved from 0.76 to 0.86. These findings suggest the efficacy of using steroid therapy for coronary artery involvement with IgG4-RD.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e15582c890b4e7a1c4202ab9e55ca8c1 https://doi.org/10.2169/internalmedicine.7880-21 Zobrazit plný text záznamu