Korean Circ J.  2023 Mar;53(3):189-190. 10.4070/kcj.2022.0300.

Characteristic Virtual HistologyIntravascular Ultrasound Imaging of Immunoglobulin G4-Related Coronary Artery Disease Patient

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Uijeongbu Eulji Medical Center, Uijeongbu, Korea
  • 2Department of Radiology, Seoul National University Bundang Hospital, Seoul, Korea
  • 3Division of Cardiology, College of Medicine, Seoul National University, Seoul, Korea
  • 4Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea


Figure

  • Figure 1 Coronary CT angiography, CAG, and IVUS images.(A) Baseline coronary CT angiography of LAD (left: 3D-VR, right: curved MPR). (B) Baseline coronary CT angiography of RCA (left: 3D-VR, right: curved MPR). (C) CAG of LAD. (D) CAG of RCA. (E) IVUS image of the proximal LAD (left: grayscale, right: VH-IVUS). (F) IVUS image of the mid RCA (left: grayscale, right: VH-IVUS). (G) Changes in LAD lesions after treatment (upper: baseline coronary CT angiography, lower: follow-up coronary CT angiography [5 months later]). (H) Changes in RCA lesions after treatment (left: baseline coronary CT angiography, right: follow-up coronary CT angiography [5 months later]).3D-VR = three-dimensional volume-rendered; CAG = coronary angiography; CT = coronary computed tomography; IVUS = intravascular ultrasound; LAD = left anterior descending artery; MPR = multi-planar reconstruction; RCA = right coronary artery; VH = virtual histology.


Reference

1. Shoji K, Wakana N, Zen K, Hori Y, Matoba S. Immunoglobulin G4-related coronary artery aneurysm-associated stent migration. JACC Case Rep. 2021; 3:1895–1897. PMID: 34984347.
2. Patel NR, Anzalone ML, Buja LM, Elghetany MT. Sudden cardiac death due to coronary artery involvement by IgG4-related disease: a rare, serious complication of a rare disease. Arch Pathol Lab Med. 2014; 138:833–836. PMID: 24878025.
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