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

Year 2009, Volume: 12 Issue: 1, 27 - 29, 01.01.2008

Zeki Fiimflek Göksel Açar Elnur Alizade Mustafa Akçakoyun Özlem Esen Ali Metin Esen

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

References

  • Imai T, Matsumoto S Anaphylactoid purpura with car- diac involvement. Arch Dis Child 1970 45:727-729.
  • Abdel-Hadi O, Greenstone MA, Hartley RB, Kidner PH Myocardial infarction-a rare complication in Henoch- Schönlein purpura. Post Graduate Med J 1981 57:390-392. 33.. Manso JV, Alvarez VB, de la Tassa CM Spontaneous coronary artery dissection. Int J Cardiol 1998 67:264.
  • Jorgensen MB, Aharonian V, Mansukhani P, Mahrer PR Spontaneous coronary dissection:A cluster of cases with this rare finding. Am Heart J 1994 127:1382–87.
  • Robinowitz M, Virmani R, Mcallister H Spontaneous artery dissection and eosinophilic inflammation: a cause and effect relationship. Am J Med 1982 72:923-928.
  • Burkey D, Love J, Fanning J, Lamrew C Multiple spon- taneous coronary artery dissections in a middle aged wo- men: support for an underlying eosinophilic arteritis pre- disposing to intimal distruption. Cathet Cardiovasc Diagn 1993 30:303-305.
  • Virmani R, Forman MB, Robinowitz M, Mc Allister HA Coronary artery dissections. Cardiol Clin 1984 4:633-46. 88.. Dowling GP, Buja LM Spontaneous coronary artery dissection occurs with and without periadventitial inflam- mation. Arch Pahol Lab Med 1987 111:470-2.
  • Spontaneous Coronary Artery Dissection in ... 29

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

Year 2009, Volume: 12 Issue: 1, 27 - 29, 01.01.2008

Zeki Fiimflek Göksel Açar Elnur Alizade Mustafa Akçakoyun Özlem Esen Ali Metin Esen

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

References

  • Imai T, Matsumoto S Anaphylactoid purpura with car- diac involvement. Arch Dis Child 1970 45:727-729.
  • Abdel-Hadi O, Greenstone MA, Hartley RB, Kidner PH Myocardial infarction-a rare complication in Henoch- Schönlein purpura. Post Graduate Med J 1981 57:390-392. 33.. Manso JV, Alvarez VB, de la Tassa CM Spontaneous coronary artery dissection. Int J Cardiol 1998 67:264.
  • Jorgensen MB, Aharonian V, Mansukhani P, Mahrer PR Spontaneous coronary dissection:A cluster of cases with this rare finding. Am Heart J 1994 127:1382–87.
  • Robinowitz M, Virmani R, Mcallister H Spontaneous artery dissection and eosinophilic inflammation: a cause and effect relationship. Am J Med 1982 72:923-928.
  • Burkey D, Love J, Fanning J, Lamrew C Multiple spon- taneous coronary artery dissections in a middle aged wo- men: support for an underlying eosinophilic arteritis pre- disposing to intimal distruption. Cathet Cardiovasc Diagn 1993 30:303-305.
  • Virmani R, Forman MB, Robinowitz M, Mc Allister HA Coronary artery dissections. Cardiol Clin 1984 4:633-46. 88.. Dowling GP, Buja LM Spontaneous coronary artery dissection occurs with and without periadventitial inflam- mation. Arch Pahol Lab Med 1987 111:470-2.
  • Spontaneous Coronary Artery Dissection in ... 29
There are 7 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Zeki Fiimflek This is me

Göksel Açar This is me

Elnur Alizade This is me

Mustafa Akçakoyun This is me

Özlem Esen This is me

Ali Metin Esen This is me

Publication Date January 1, 2008
Published in Issue Year 2009 Volume: 12 Issue: 1

Cite

APA Fiimflek, Z. ., Açar, G. ., Alizade, E. ., Akçakoyun, M. ., et al. (2008). Spontaneous Coronary Artery Dissection in a Patient with Henoch - Schönlein Purpura. Koşuyolu Kalp Dergisi, 12(1), 27-29.
AMA Fiimflek Z, Açar G, Alizade E, Akçakoyun M, Esen Ö, Esen AM. Spontaneous Coronary Artery Dissection in a Patient with Henoch - Schönlein Purpura. Koşuyolu Kalp Dergisi. January 2008;12(1):27-29.
Chicago Fiimflek, Zeki, Göksel Açar, Elnur Alizade, Mustafa Akçakoyun, Özlem Esen, and Ali Metin Esen. “Spontaneous Coronary Artery Dissection in a Patient With Henoch - Schönlein Purpura”. Koşuyolu Kalp Dergisi 12, no. 1 (January 2008): 27-29.
EndNote Fiimflek Z, Açar G, Alizade E, Akçakoyun M, Esen Ö, Esen AM (January 1, 2008) Spontaneous Coronary Artery Dissection in a Patient with Henoch - Schönlein Purpura. Koşuyolu Kalp Dergisi 12 1 27–29.
IEEE Z. . Fiimflek, G. . Açar, E. . Alizade, M. . Akçakoyun, Ö. . Esen, and A. M. . Esen, “Spontaneous Coronary Artery Dissection in a Patient with Henoch - Schönlein Purpura”, Koşuyolu Kalp Dergisi, vol. 12, no. 1, pp. 27–29, 2008.
ISNAD Fiimflek, Zeki et al. “Spontaneous Coronary Artery Dissection in a Patient With Henoch - Schönlein Purpura”. Koşuyolu Kalp Dergisi 12/1 (January 2008), 27-29.
JAMA Fiimflek Z, Açar G, Alizade E, Akçakoyun M, Esen Ö, Esen AM. Spontaneous Coronary Artery Dissection in a Patient with Henoch - Schönlein Purpura. Koşuyolu Kalp Dergisi. 2008;12:27–29.
MLA Fiimflek, Zeki et al. “Spontaneous Coronary Artery Dissection in a Patient With Henoch - Schönlein Purpura”. Koşuyolu Kalp Dergisi, vol. 12, no. 1, 2008, pp. 27-29.
Vancouver Fiimflek Z, Açar G, Alizade E, Akçakoyun M, Esen Ö, Esen AM. Spontaneous Coronary Artery Dissection in a Patient with Henoch - Schönlein Purpura. Koşuyolu Kalp Dergisi. 2008;12(1):27-9.