RESUMO
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.
Assuntos
Doença de Crohn , Doenças Inflamatórias Intestinais , Hepatopatias , Trombose Venosa , Doença de Crohn/complicações , Humanos , Veia Porta/diagnóstico por imagem , Trombose Venosa/diagnóstico por imagem , Trombose Venosa/etiologiaRESUMO
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.
Assuntos
Síndrome Coronariana Aguda/etiologia , Eletrocardiografia/métodos , Síndrome de Wolff-Parkinson-White/complicações , Síndrome de Wolff-Parkinson-White/diagnóstico , Síndrome Coronariana Aguda/terapia , Analgésicos Opioides/uso terapêutico , Aspirina/uso terapêutico , Clopidogrel/uso terapêutico , Stents Farmacológicos , Fibrinolíticos/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Morfina/uso terapêutico , Inibidores da Agregação Plaquetária/uso terapêutico , Infarto do Miocárdio com Supradesnível do Segmento ST/etiologia , Infarto do Miocárdio com Supradesnível do Segmento ST/terapia , Síndrome de Wolff-Parkinson-White/terapiaRESUMO
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.