title: Cardiac denervation procedure to treat refractory angina in a patient with Churg-Strauss syndrome and non-obstructive coronary lesions.
abstract: Cardiac involvement in Churg-Strauss syndrome is common and represents the main cause of mortality. We report the case of a patient with Churg-Strauss vasculitis, mitral regurgitation with left ventricular dysfunction, paroxysmal atrial fibrillation and refractory angina with non-significant coronary lesions. Cardiac denervation was proposed as an associated procedure to treat angina. The total removal of peri-adventitial and adventitial tissue around the superior vena cava, ascending aorta and main pulmonary trunk was performed. After 3 months of follow-up, the patient was angina-free and could resume his normal lifestyle.
authors.affiliation: Department of Cardiac Surgery, National Institute for Cardiac Surgery (INCC), Montevideo, Uruguay. leandrocura@movinet.com.uy
authors.forename: Leandro
authors.initials: L
authors.lastname: Cura
authors.forename: Victor
authors.initials: V
authors.lastname: Dayan
authors.forename: Florencia
authors.initials: F
authors.lastname: Cristar
authors.forename: Gerardo
authors.initials: G
authors.lastname: Soca
mesh_terms: D000328:Adult; D000787:Angina Pectoris / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D017763:Autonomic Denervation; D015267:Churg-Strauss Syndrome / Q000150:complications*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006321:Heart / Q000294:innervation*; D006801:Humans; D008297:Male; D016896:Treatment Outcome