Multimodality Imaging Evaluation of Coronary IgG4-Related Disease: A 'Tumor-Like' Cardiac Lesion

Autor: Ludovica R. M. Lanzafame, Maria Ludovica Carerj, Giovanna Rizzo, Fabio Minutoli, Giuseppe M. Bucolo, Natasha Irrera, Giuseppe Muscogiuri, Sandro Sironi, Alfredo Blandino, Tommaso D’Angelo
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Diagnostics, Vol 12, Iss 11, p 2814 (2022)
Druh dokumentu: article
ISSN: 2075-4418
DOI: 10.3390/diagnostics12112814
Popis: Immunoglobulin G4-related disease (IgG4-RD) is a systemic immune-mediated fibro-inflammatory disorder. Coronary IgG4-RD has been scarcely reported and may present as “tumor-like” lesions. These pseudo-masses may be underdiagnosed mainly due to a vague clinical picture that can vary from complete lack of symptoms to acute coronary syndrome or sudden cardiac death. Early recognition of coronary IgG4-RD is essential to monitor disease activity and prevent life-threatening complications. We report a comprehensive non-invasive imaging evaluation of a patient affected by coronary IgG4-RD, which was diagnosed as an incidental finding during routine pre-laparoscopic cholecystectomy checkup. Non-invasive imaging revealed the presence of a peri-coronary soft-tissue mass that was stable at 12 months follow-up.
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