A Case of Coronary Arteritis and Myocardial Involvement With Associated IgG4-Related Disease

Kenichiro Suwa; Noriyoshi Ogawa; Nobuko Yoshizawa; Mayu Fujihiro; Atsushi Sakamoto; Hayato Ohtani; Masao Saotome; Yuichiro Maekawa

doi:10.1016/j.jaccas.2023.101843

A Case of Coronary Arteritis and Myocardial Involvement With Associated IgG4-Related Disease

JACC Case Rep. 2023 Apr 15:14:101843. doi: 10.1016/j.jaccas.2023.101843. eCollection 2023 May 17.

Authors

Kenichiro Suwa¹, Noriyoshi Ogawa², Nobuko Yoshizawa³, Mayu Fujihiro⁴, Atsushi Sakamoto¹, Hayato Ohtani¹, Masao Saotome¹, Yuichiro Maekawa¹

Affiliations

¹ Division of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Shizuoka, Japan.
² Division of Rheumatology, Internal Medicine 3, Hamamatsu University School of Medicine, Shizuoka, Japan.
³ Department of Radiology, Hamamatsu University School of Medicine, Shizuoka, Japan.
⁴ Department of Diagnostic Pathology, Hamamatsu University School of Medicine, Shizuoka, Japan.

Abstract

A 56-year-old male subject with bilateral eyelid swelling was diagnosed with an immunoglobulin G4-related disease. After whole-body surveillance, concomitant coronary arteritis with a mural thrombus and myocardial involvement were observed. In this case, multimodal diagnostic imaging assessment led to the diagnosis of both coronary arteritis and myocardial fibrosis associated with immunoglobulin G4-related disease. (Level of Difficulty: Advanced.).

Keywords: IgG4-related disease; cardiac magnetic resonance; coronary arteritis; myocardial involvement.

Publication types

Case Reports