High-risk non-ST-elevation acute coronary syndrome as a severe clinical manifestation of Cogan's Syndrome

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Published: Jun 3, 2024
Keywords:
Cogan, Inflammatory disease, Vasculitis, Aortitis

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Lucas Barros López
Hospital Universitario Miguel Servet, Zaragoza, España
Jessica Giménez Lecina
Hospital Universitario Miguel Servet, Zaragoza, España
Mónica Requesens Solera
Hospital Universitario Miguel Servet, Zaragoza, España
Sara Noblejas Drouot
Hospital Universitario Miguel Servet, Zaragoza, España
María Barrera Sánchez
Hospital Universitario Miguel Servet, Zaragoza, España
José Javier Muñoz Marco
Hospital Universitario Miguel Servet, Zaragoza, España

Abstract

Cogan's syndrome is a rare inflammatory pathology that usually presents with ocular and vestibulocochlear symptoms, but in a low percentage of patients it can be associated with systemic manifestations vasculitis-like. The treatment of this syndrome is not clear and is based on immunosuppressive regimens similar to those of other autoimmune diseases. When it presents with severe manifestations such as acute coronary syndrome with a possible indication for surgery, best time for the invasive procedure is unkown. We present the case of a patient with Cogan's syndrome and aortitis that caused significant extrinsic compression of the left main coronary artery, as well as its evolution, treatment, and review of the currently available literature.

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How to Cite
1.
Barros López L, Giménez Lecina J, Requesens Solera M, Noblejas Drouot S, Barrera Sánchez M, Muñoz Marco JJ. High-risk non-ST-elevation acute coronary syndrome as a severe clinical manifestation of Cogan’s Syndrome. Rev Arg de Ter Int. [Internet]. 2024 Jun. 3 [cited 2024 Dec. 21];41. Available from: https://revista.sati.org.ar/index.php/MI/article/view/892
Issue
Vol. 41 (2024): mayo
Section
Clinical Notes / Case Report
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References

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