Korean Circ J.  2015 May;45(3):242-244. 10.4070/kcj.2015.45.3.242.

The Relationship between Spontaneous Multi-Vessel Coronary Artery Dissection and Celiac Disease

• Bayar N
• Cagici G
• Ureyen CM
• Kus G
• Kucukseymen S
• Arslan S

• KMID: 2389132
• DOI: http://doi.org/10.4070/kcj.2015.45.3.242

Abstract

Celiac disease (CD) is an immune-mediated enteropathy involving the small intestines. Genetic and environmental risk factors as well as autoimmunity have been linked to its etiology. Studies have shown that coronary artery disease, autoimmune myocarditis, arrhythmias and premature atherosclerosis are more prevalent in individuals with CD compared to individuals without the disease. In this case report a young male patient with CD presented with acute myocardial infarction with spontaneous coronary artery dissections of two vessels. To the best of our knowledge, this is the first case report of spontaneous multi-vessel coronary artery dissection in a patient with CD.

Keyword

Celiac disease; Homocysteine; Dissection

MeSH Terms

Arrhythmias, Cardiac
Atherosclerosis
Autoimmunity
Celiac Disease*
Coronary Artery Disease
Coronary Vessels*
Homocysteine
Humans
Intestine, Small
Male
Myocardial Infarction
Myocarditis
Risk Factors
Homocysteine

Figure

• 

  Fig. 1 Left coronary angiogram demonstrating coronary dissection in the left anterior descending artery (arrows).

• 

  Fig. 2 Right coronary angiogram showing the dissection in the right coronary artery (arrows).

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