Immunoglobulin G4-Related Coronary Artery Aneurysm-Associated Stent Migration

Keisuke Shoji; Noriyuki Wakana; Kan Zen; Yusuke Hori; Satoaki Matoba

doi:10.1016/j.jaccas.2021.09.001

Immunoglobulin G4-Related Coronary Artery Aneurysm-Associated Stent Migration

JACC Case Rep. 2021 Dec 15;3(18):1895-1897. doi: 10.1016/j.jaccas.2021.09.001.

Authors

Keisuke Shoji¹, Noriyuki Wakana¹, Kan Zen¹, Yusuke Hori¹, Satoaki Matoba¹

Affiliation

¹ Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Abstract

A 65-year-old woman with immunoglobulin G4-related disease (IgG4-RD), which was managed with a corticosteroid, underwent percutaneous coronary stent implantation in the left anterior descending artery as a result of angina pectoris. After 9 months, coronary angiography revealed stent migration and occlusion caused by progression of a coronary aneurysm potentially associated with IgG4-RD. (Level of Difficulty: Advanced.).

Keywords: CAA, coronary artery aneurysm; CAG, coronary angiography; CTA, computed tomography angiography; IVUS, intravascular ultrasound; IgG4-RD, immunoglobulin G4–related disease; LAD, left anterior descending; PCI, percutaneous coronary intervention; immunoglobulin G4-related disease; immunoglobulin G4–related coronary arteritis; stent migration.