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. 2015 May;45(3):242-4.
doi: 10.4070/kcj.2015.45.3.242. Epub 2015 May 27.

The Relationship between Spontaneous Multi-Vessel Coronary Artery Dissection and Celiac Disease

Nermin Bayar  1 , Göksel Çağırcı  1 , Çağın Mustafa Üreyen  1 , Görkem Kuş  1 , Selçuk Küçükseymen  1 , Şakir Arslan  1
Affiliations

The Relationship between Spontaneous Multi-Vessel Coronary Artery Dissection and Celiac Disease

Nermin Bayar et al. Korean Circ J. 2015 May.

Abstract

Celiac disease (CD) is an immune-mediated enteropathy involving the small intestines. Genetic and environmental risk factors as well as autoimmunity have been linked to its etiology. Studies have shown that coronary artery disease, autoimmune myocarditis, arrhythmias and premature atherosclerosis are more prevalent in individuals with CD compared to individuals without the disease. In this case report a young male patient with CD presented with acute myocardial infarction with spontaneous coronary artery dissections of two vessels. To the best of our knowledge, this is the first case report of spontaneous multi-vessel coronary artery dissection in a patient with CD.

Keywords: Celiac disease; Dissection; Homocysteine.

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Conflict of interest statement

The authors have no financial conflicts of interest.

Figures

Fig. 1
Fig. 1. Left coronary angiogram demonstrating coronary dissection in the left anterior descending artery (arrows).
Fig. 2
Fig. 2. Right coronary angiogram showing the dissection in the right coronary artery (arrows).
See this image and copyright information in PMC

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