A 31-Year-Old Man With Angina Pectoris Resulting From Large Vessel Vasculitis

Giselle M Statz; Noah N Williford; Vivian R Sardone; Zuhair K Ballas; Svjetlana Dolovcak; James Rossen; Milena A Gebska

doi:10.1016/j.jaccas.2021.04.015

A 31-Year-Old Man With Angina Pectoris Resulting From Large Vessel Vasculitis

JACC Case Rep. 2021 Jun 9;3(9):1191-1193. doi: 10.1016/j.jaccas.2021.04.015. eCollection 2021 Aug 4.

Authors

Giselle M Statz¹, Noah N Williford^{1

2}, Vivian R Sardone^{3

4}, Zuhair K Ballas^{5

6}, Svjetlana Dolovcak^{5

6}, James Rossen⁷, Milena A Gebska⁷

Affiliations

¹ Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
² Division of Cardiovascular Medicine, Washington University in St. Louis, Saint Louis, Missouri, USA.
³ Department of Undergraduate Medical Education, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
⁴ Department of Internal Medicine, Scripps Clinic and Scripps Green Hospital, San Diego, California, USA.
⁵ Division of Immunology, Iowa City VA Health Care System, Iowa City, Iowa, USA.
⁶ Division of Immunology, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
⁷ Division of Cardiovascular Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.

Abstract

We present the case of an apparently healthy 31-year-old man with malignant progression of coronary artery disease and recurrent angina resulting from suspected large vessel vasculitis. This case highlights the importance of considering vasculitis in patients without atherosclerotic risk factors, using a multidisciplinary team approach, and suppressing inflammation before coronary revascularization to improve outcomes. (Level of Difficulty: Beginner.).

Keywords: CABG, coronary artery bypass grafting; CRP, C-reactive protein; IL, interleukin; LCx, left circumflex; LMCA, left main coronary artery; PCI, percutaneous coronary intervention; RCA, right coronary artery; coronary artery bypass; coronary revascularization; large vessel vasculitis; vasculitis.

Publication types

Case Reports