Key result
Cardiac denervation relieves refractory angina in Churg-Strauss syndrome, maintaining symptom-free status at 3 months.
Why the study?
Cardiac involvement in Churg-Strauss syndrome is common and represents the main cause of mortality, with refractory angina in patients having non-significant coronary lesions lacking effective treatment options.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
May relieve refractory angina in Churg-Strauss; leaves open efficacy beyond this single case.
Cardiac involvement in Churg-Strauss syndrome is common and represents the main cause of mortality. We report the case of a patient with Churg-Strauss vasculitis, mitral regurgitation with left ventricular dysfunction, paroxysmal atrial fibrillation and refractory angina with non-significant coronary lesions. Cardiac denervation was proposed as an associated procedure to treat angina. The total removal of peri-adventitial and adventitial tissue around the superior vena cava, ascending aorta and main pulmonary trunk was performed. After 3 months of follow-up, the patient was angina-free and could resume his normal lifestyle.
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Cura et al. (2012) conducted a case report in Churg-Strauss syndrome and refractory angina (n=1). Cardiac denervation was evaluated on Angina status. Cardiac denervation successfully treated refractory angina in a patient with Churg-Strauss syndrome, rendering him angina-free at 3 months.
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