Coronary Artery Disease -Thinking Beyond Atherosclerosis-Juniper Publishers
JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Aortitis involving the coronary arteries is rare [ 1 , 2 ]. Affected individuals may develop myocardial ischaemia due to stenosis of the coronary ostia and/or aortic valve (AV) regurgitation. We report a case of recurrent ostial coronary artery lesions in a young woman. Case A 27-year-old Caucasian lady was admitted with chest pain at rest suggestive of myocardial ischemia. Clinical examination was normal. The electrocardiogram showed lateral T-wave inversion. High-sensitivity troponin T level was elevated at 18ng/L (99 th centile 13ng/L). The CRP was 32mg/L and normalised within 24 hours. Echocardiography showed anterior wall hypokinesia with good left ventricular function and a normal AV. She was treated with aspirin, clopidogrel and enoxaparin. Coronary angiography showed severe ostial left main stem (LMS) artery stenosis ( Fig...