Insidious coronary artery disease in a young patient with polyarteritis nodosa: a case report and literature review.

ABSTRACT:

Background

Polyarteritis nodosa (PAN) is a relatively rare systemic necrotizing vasculitis that typically affects medium-sized arteries. Although myocardial ischemia may occur due to involvement of the coronary arteries, overt myocardial infarction is uncommon. Case presentation A 22-year-old Chinese man experiencing chest pain for 7 months was admitted to our hospital. Consistently, the pain tended to last for a few minutes and then spontaneously subside. He had 7-year history of "stable" PAN. Coronary angiography revealed slight plaque infiltration of the left main coronary artery; however occlusion of all the three major coronary arteries with multiple aneurysms. A stent was implanted into the obtuse margin branch artery which was 95% stenosis, and then the chest pain was allevi

SUBMITTER: Huang H 

PROVIDER: S-EPMC7912834 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature