Rare Manifestation of COVID-19 Resulting in Coronary Artery Vasculitis.
Ahmed Hassaan QaviSoban AhmadNeeraj N ShahRony ShammasPublished in: Case reports in cardiology (2024)
We present the case of a 59-year-old African American female with end-stage renal disease (ESRD) who presented to the emergency department with chest discomfort. She had a coronary angiogram six months ago that showed no occlusive epicardial coronary artery disease. She had elevated troponin I levels and new regional wall motion abnormalities on echocardiogram. Her SARS-CoV-2 returned positive. After a multidisciplinary team approach, she underwent another coronary angiogram that showed new severe multivessel ostial lesions and a left main coronary artery aneurysm. COVID-19-related coronary artery vasculitis was suspected based on her clinical presentation, angiogram findings, and negative autoimmune workup. The patient underwent successful coronary artery bypass grafting and recovered without complications.
Keyphrases
- coronary artery
- coronary artery bypass grafting
- sars cov
- coronary artery disease
- end stage renal disease
- african american
- chronic kidney disease
- percutaneous coronary intervention
- peritoneal dialysis
- pulmonary artery
- emergency department
- coronavirus disease
- respiratory syndrome coronavirus
- st segment elevation myocardial infarction
- cardiovascular events
- quality improvement
- multiple sclerosis
- case report
- st elevation myocardial infarction
- early onset
- palliative care
- risk factors
- acute coronary syndrome
- drug induced
- high speed
- sickle cell disease
- high resolution