一名患有坏疽性脓皮病的青少年运动员冠状动脉高安动脉炎支架内再狭窄后发生ST段抬高型心肌梗死

Desai Rohan, Barr Brian, Vesely Mark, Aktay Recai, Forbess Lisa

Department of Internal Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.

Division of Cardiology, University of Maryland School of Medicine, Baltimore, Maryland, USA.

JACC Case Rep. 2024 Sep 4;29(17):102487. doi: 10.1016/j.jaccas.2024.102487.

Takayasu arteritis is a rare vasculitis of the aorta and its branches. Here, we present a teenaged athlete with coronary arteritis and pyoderma gangrenosum, the youngest person whose case is described in the literature. She received immune modulation and percutaneous coronary intervention, with subsequent in-stent restenosis and cardiac arrest requiring coronary artery bypass grafting.

高安动脉炎是一种累及主动脉及其分支的罕见血管炎。在此，我们报告一名患有冠状动脉炎和坏疽性脓皮病的青少年运动员，这是文献中描述的最年轻病例。她接受了免疫调节和经皮冠状动脉介入治疗，随后出现支架内再狭窄和心脏骤停，需要进行冠状动脉搭桥手术。