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http://dx.doi.org/10.4070/kcj.2012.42.8.568

Polyarteritis Nodosa Complicated by Chronic Total Occlusion Accompanying Aneurysms on All Coronary Arteries  

Chung, Doo-Cheol (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center)
Choi, Jung-Eun (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center)
Song, Yong-Keun (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center)
Lim, Ah-Leum (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center)
Park, Kyoung-Ha (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center)
Choi, Young-Jin (Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center)
Publication Information
Korean Circulation Journal / v.42, no.8, 2012 , pp. 568-570 More about this Journal
Abstract
Polyarteritis nodosa (PAN) is characterized by inflammatory necrosis of medium sized arteries. PAN can also be associated with stenosis or aneurysm of the coronary artery. However, the involvement of PAN at a coronary artery is usually asymptomatic, which makes it difficult to diagnose. In addition, all of the three main coronary arteries involved with chronic total occlusion (CTO) is a rare finding in patients with PAN. We report a patient that presented with PAN complicated by CTO and aneurysms of three main coronary arteries, without typical symptoms of angina.
Keywords
Polyarteritis nodosa; Coronary aneurysm; Coronary occlusion;
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