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IgG4-related Disease Involving the Cardiovascular System: An Intracardiac Mass and a Mass Lesion Surrounding a Coronary Artery

机译:涉及心血管系统的IgG4相关疾病:冠状动脉周围的心内包块和包块病变

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摘要

A 61-year-old Japanese man with IgG4-related autoimmune pancreatitis developed a mass in the right atrium (RA) and a mass lesion surrounding the left anterior descending coronary artery. We performed an intracardiac echo catheter-guided percutaneous biopsy of the RA mass, and histologically diagnosed it as IgG4-related disease. Oral corticosteroid therapy gradually downsized the mass lesions. We encountered a very rare case with mass lesions in the cardiovascular system of the IgG4-related disease that were able to be diagnosed using an intracardiac echo-guided biopsy.
机译:一名患有IgG4相关自身免疫性胰腺炎的61岁日本男子在右心房(RA)形成肿块,并在左冠状动脉前降支周围形成肿块。我们对RA肿块进行了心脏内回声导管引导的经皮活检,并在组织学上将其诊断为IgG4相关疾病。口服糖皮质激素治疗逐渐缩小了肿块的大小。我们遇到了非常罕见的病例,该病例在IgG4相关疾病的心血管系统中有大量病变,可以通过心内回声引导活检来诊断。

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