Spontaneous Coronary Artery Dissection in a Patient with Henoch - Schönlein Purpura

Abstract

Henoch-Schönlein purpura is a small vessel vasculitis that affects mainly the skin, joints, gastrointestinal tract and kidneys. The cardiovascular system is also rarely affected. We describe a 47-year-old man with Henoch-Schönlein purpura who developed anteroseptal myocardial infarction. The coronary angiography revealed coronary dissection at the level of second diagonal branch of left anterior desending artery as the culprit lesion. The region of dissection and the proximal lesion was successfully treated by stenting. The myocardial infarction on the basis of spontaneous coronary dissection in the present case with established Henoch-Schönlein purpura, may be the first to be described.

Keywords

• Henoch-Schönlein purpura, coronary dissection, coronary angiography, vasculitis

Spontaneous Coronary Artery Dissection in a Patient with Henoch - Schönlein Purpura

Abstract

Henoch-Schönlein purpurası küçük damar vasküliti olup başlıca deri, eklem, gastrointestinal sistem ve böbrekleri etkilemektedir. Kardiyovasküler sistem nadiren etkilenir. Henoch-Schönlein purpurası olan anteroseptal miyokard infarktüsü geçiren 47 yaşındaki erkek hastayı sunacağız. Koroner anjiyografi ile sol ön inen arterin ikinci diyagonal dalı seviyesindeki koroner diseksiyon sorumlu lezyon olarak gösterildi. Diseksiyon bölgesi ve proksimalindeki lezyon stentleme ile başarılı şekilde tedavi edildi. Henoch-Schönlein purpura tanılı olguda spontan koroner diseksiyonu zemininde gelişen miyokard infarktüsü belki de ilk kez tanımlanmaktadır.

Keywords

• Henoch-Schönlein purpura, koroner diseksiyon, koroner anjiyografi, vaskülit

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