Sudden coronary death due to IgG4-related disease

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• 作者：Paulo Sampaio Gutierrez ; Thiago Schultz ; Sheila Aparecida Coelho Siqueira ; Luciano de Figueiredo Borges
• 关键词：IgG4-related disease ; Coronary artery ; Aneurysm ; Necropsy ; Sudden cardiac death
• 刊名：Cardiovascular Pathology
• 出版年：November-December, 2013
• 年：2013
• 卷：22
• 期：6
• 页码：505-507
• 全文大小：1694 K

文摘

A 54-year-old male entered the emergency room in cardiorespiratory arrest after syncope at home. Resuscitation was attempted, but the patient died a few hours later. At necropsy, aneurysms were found at the right and left anterior descending coronary arteries. At microscopic examination, there was no significant coronary atherosclerosis, and a dense inflammatory infiltrate was detected, with a high number of igG4-positive cells (94.0 positive cells/hpf). The case illustrates that IgG4-related disease can cause coronary disease and sudden cardiac death.