[Coronary revascularization provides confirmation of coronary and aortic giant-cell vasculitis].
The present report describes a 58-year-old woman who had unstable angina pectoris 28 months after the end of corticosteroid treatment prescribed for biopsy-proven temporal arteritis. Coronary angiogram disclosed critical left main coronary artery stenosis. Despite a 3-week corticosteroid regimen no improvement was obtained and an aortocoronary bypass was performed. Histological examination of the affected artery showed vasculitis. Corticosteroid treatment was continued. Six months later, symptoms had not recurred and the coronary bypass graft was permeable. The stress test was negative fifteen months after surgery and the patient remained clinically well thirty months later. For any patient with current or previous temporal arteritis, any cardiovascular manifestation might be a new episode of giant-cell arteritis.
Le Hello
C
C
Département de Chirurgie Cardiovasculaire, Centre Hospitalier Universitaire, Caen.
Maïza
D
D
Galateau-Sallé
F
F
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000787:Angina Pectoris / Q000503:physiopathology*; D001013:Aorta, Thoracic / Q000473:pathology*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology*; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D011859:Radiography
D000305:Adrenal Cortex Hormones
Revascularisation coronarienne apportant la confirmation d'une vascularite giganto-cellulaire coronarienne et aortique.