Unifying Diagnosis Explaining Multiorgan Clinical Manifestations: The Unique Case of Antiphospholipid Syndrome Leading to MINOCA.

HomeCirculation: Cardiovascular ImagingVol. 16, No. 8Unifying Diagnosis Explaining Multiorgan Clinical Manifestations: The Unique Case of Antiphospholipid Syndrome Leading to MINOCA No AccessCase ReportRequest AccessFull TextAboutView Full TextView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissionsDownload Articles + Supplements ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toSupplemental MaterialNo AccessCase ReportRequest AccessFull TextUnifying Diagnosis Explaining Multiorgan Clinical Manifestations: The Unique Case of Antiphospholipid Syndrome Leading to MINOCA Daniele Cavallo, Matteo Armillotta, Francesco Angeli, Luca Bergamaschi, Ornella Di Iuorio, Francesco Pio Tattilo, Khrystyna Ryabenko, Fabio Niro, Camilla Sportoletti, Luigi Lovato, Alberto Foà and Carmine Pizzi Daniele CavalloDaniele Cavallo https://orcid.org/0009-0003-0782-8660 Cardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Department of Medical and Surgical Sciences – DIMEC – Alma Mater Studiorum, University of Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Search for more papers by this author , Matteo ArmillottaMatteo Armillotta https://orcid.org/0000-0002-7971-8052 Cardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Department of Medical and Surgical Sciences – DIMEC – Alma Mater Studiorum, University of Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Search for more papers by this author , Francesco AngeliFrancesco Angeli https://orcid.org/0000-0002-8732-4512 Cardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Department of Medical and Surgical Sciences – DIMEC – Alma Mater Studiorum, University of Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Search for more papers by this author , Luca BergamaschiLuca Bergamaschi https://orcid.org/0000-0001-8186-9717 Department of Medical and Surgical Sciences – DIMEC – Alma Mater Studiorum, University of Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Search for more papers by this author , Ornella Di IuorioOrnella Di Iuorio https://orcid.org/0009-0000-6352-0490 Cardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Department of Medical and Surgical Sciences – DIMEC – Alma Mater Studiorum, University of Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Search for more papers by this author , Francesco Pio TattiloFrancesco Pio Tattilo Cardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Department of Medical and Surgical Sciences – DIMEC – Alma Mater Studiorum, University of Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Search for more papers by this author , Khrystyna RyabenkoKhrystyna Ryabenko https://orcid.org/0000-0001-8254-1502 Cardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Department of Medical and Surgical Sciences – DIMEC – Alma Mater Studiorum, University of Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Search for more papers by this author , Fabio NiroFabio Niro https://orcid.org/0000-0001-9696-1022 Pediatric and Adult Cardiovascular, Thoraco-abdominal and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (FN, CS, LL). Search for more papers by this author , Camilla SportolettiCamilla Sportoletti https://orcid.org/0000-0002-2310-860X Pediatric and Adult Cardiovascular, Thoraco-abdominal and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (FN, CS, LL). Search for more papers by this author , Luigi LovatoLuigi Lovato https://orcid.org/0000-0003-2177-186X Pediatric and Adult Cardiovascular, Thoraco-abdominal and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (FN, CS, LL). Search for more papers by this author , Alberto FoàAlberto Foà Cardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Department of Medical and Surgical Sciences – DIMEC – Alma Mater Studiorum, University of Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Search for more papers by this author and Carmine PizziCarmine Pizzi Correspondence to: Carmine Pizzi, MD, FESC, Department of Medical and Surgical Sciences - DIMEC (Padiglione 23), IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola-Malpighi University of Bologna, Via Giuseppe Massarenti 9, 40138 Bologna, Italy. Email E-mail Address: [email protected] https://orcid.org/0000-0002-4048-675X Cardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Department of Medical and Surgical Sciences – DIMEC – Alma Mater Studiorum, University of Bologna, Italy (DC, MA, FA, LB, ODI, FPT, KR, AF, CP). Search for more papers by this author Originally published11 May 2023https://doi.org/10.1161/CIRCIMAGING.123.015371Circulation: Cardiovascular Imaging. 2023;16FootnotesFor Sources of Funding and Disclosures, see page 682.Supplemental Material is available at https://www.ahajournals.org/doi/suppl/10.1161/CIRCIMAGING.123.015371.Correspondence to: Carmine Pizzi, MD, FESC, Department of Medical and Surgical Sciences - DIMEC (Padiglione 23), IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola-Malpighi University of Bologna, Via Giuseppe Massarenti 9, 40138 Bologna, Italy. Email carmine.pizzi@unibo.itREFERENCES1. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD, Mickley H, Crea F, Van de Werf F, et al. Fourth universal definition of myocardial infarction.Eur Heart J. 2019; 40:237–269. doi: 10.1093/eurheartj/ehy462CrossrefMedlineGoogle Scholar2. Escoda T, George J, Jarrot P-A, Jean R, Mazodier K, Sanderson F, Poullin P, Saby L, Jourde-Chiche N, Kaplanski G, et al. Aortitis is an under-recognized manifestation of antiphospholipid syndrome: a case report and literature review.Lupus. 2022; 31:744–753. doi: 10.1177/09612033221091142CrossrefMedlineGoogle Scholar3. Espinosa G, Santos E, Cervera R, Piette J-C, De La Red G, Gil V, Font J, Couch R, Ingelmo M, Asherson RA. Adrenal involvement in the antiphospholipid syndrome: clinical and immunologic characteristics of 86 patients.Lupus. 2003; 82:106–118. doi: 10.1097/00005792-200303000-00005CrossrefGoogle Scholar4. Agewall S, Beltrame JF, Reynolds HR, Niessner A, Rosano G, Caforio ALP, De Caterina R, Zimarino M, Roffi M, Kjeldsen K, et al; WG on Cardiovascular Pharmacotherapy. ESC working group position paper on myocardial infarction with non-obstructive coronary arteries.Eur Heart J. 2017; 38:143–153. doi: 10.1093/eurheartj/ehw149CrossrefMedlineGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetails August 2023Vol 16, Issue 8 Advertisement Article InformationMetrics © 2023 American Heart Association, Inc.https://doi.org/10.1161/CIRCIMAGING.123.015371PMID: 37165858 Originally publishedMay 11, 2023 KeywordsaortitisMINOCAmagnetic resonance imaginghemorrhageantiphospholipid syndromePDF download Advertisement SubjectsComputerized Tomography (CT)Electrocardiology (ECG)ImagingMagnetic Resonance Imaging (MRI)Nuclear Cardiology and PET