Key result
Saphenous vein aortocoronary bypass was used to treat angina pectoris in a 35-year-old woman with rheumatoid coronary arteritis.
Case Report (n=1)
No
This early case report highlights the rare clinical diagnosis of rheumatoid coronary arteritis during life and its treatment with saphenous vein aortocoronary bypass.
Supports bypass grafting for angina in rheumatoid coronary arteritis; leaves open durability, safety, and applicability beyond this single case.
The occurrence of cardiovascular lesions in individuals with rheumatoid arthritis has been recognized for many years.1Manifestations attributed to the rheumatoid process include valvular, myocardial, and pericardial lesions,2-6as well as systemic arteritis.7,8Arteritis of the coronary vessels has been found at autopsy in as many as 20% of the cases,9but only rarely has this complication been diagnosed during life. The clinical diagnosis of acute myocardial infarction due to rheumatoid coronary arteritis was not reported until as recently as 1967,10,11although the pathological association had been previously recognized.5,7,12 We describe the clinical and coronary cineangiographic features of a patient with rheumatoid coronary arteritis in whom angina pectoris was treated by a saphenous vein aortocoronary bypass. Patient Summary A 35-year-old white woman was admitted to Rush-Presbyterian-St. Luke's Medical Center on May 9,1971. For several years, the patient had been experiencing oppressive precordial pain and
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Armando Susmano (1973) conducted a case report in Rheumatoid coronary arteritis (n=1). Saphenous vein aortocoronary bypass was evaluated. Saphenous vein aortocoronary bypass was used to treat angina pectoris in a 35-year-old woman with rheumatoid coronary arteritis.
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