ABSTRACT
Inflammatory bowel diseases (IBD) are chronic and progressive conditions that can increase the risk of thromboembolism, including that of portal vein thrombosis (PVT). Overall, PVT is a serious complication with a significant associated mortality. PVTs are exclusively described in cases with confirmed IBD diagnosis. This report highlights a case of PVT as an initial manifestation of Crohn's disease.
Subject(s)
Crohn Disease , Inflammatory Bowel Diseases , Liver Diseases , Venous Thrombosis , Crohn Disease/complications , Humans , Portal Vein/diagnostic imaging , Venous Thrombosis/diagnostic imaging , Venous Thrombosis/etiologyABSTRACT
Wolff-Parkinson-White (WPW) syndrome is a conduction disturbance in which atrial impulses are transmitted to the ventricles by an accessory pathway instead of the normal atrioventricular conduction. The WPW syndrome may either simulate myocardial infarction or mask the electrocardiographic abnormalities of an acute MI. However, concealed WPW revealed after an acute coronary syndrome is rare with few cases reported in the literature. This article reports a case of coronary artery disease with ST-segment elevation in a 57-year-old man, previously asymptomatic, with an initial electrocardiogram showing no conduction abnormalities that subsequently presented with an ECG compatible with WPW.
Subject(s)
Acute Coronary Syndrome/etiology , Electrocardiography/methods , Wolff-Parkinson-White Syndrome/complications , Wolff-Parkinson-White Syndrome/diagnosis , Acute Coronary Syndrome/therapy , Analgesics, Opioid/therapeutic use , Aspirin/therapeutic use , Clopidogrel/therapeutic use , Drug-Eluting Stents , Fibrinolytic Agents/therapeutic use , Humans , Male , Middle Aged , Morphine/therapeutic use , Platelet Aggregation Inhibitors/therapeutic use , ST Elevation Myocardial Infarction/etiology , ST Elevation Myocardial Infarction/therapy , Wolff-Parkinson-White Syndrome/therapyABSTRACT
Coronary artery disease (CAD) due to Takayasu arteritis (TA) is rare. This article reports a case of severe involvement of multiple coronary arteries in a young woman. She was treated with coronary artery bypass grafting and had an early venous graft stenosis despite immunosuppressants. She became asymptomatic one year after a drug-eluting stent placement. This report shows the complexity of the diagnostic and therapeutic approach to TA with complex CAD.
