Korean Circ J.  1997 Aug;27(8):887-894. 10.4070/kcj.1997.27.8.887.

A Case of Takayasu's Arteritis Associated with Stenosis of Both Subelavian Arteries and Both Renal Arteries

• Ahn SH
• Lim SB
• Oh SK
• Lee JH
• Jeong JW
• Park YK
• Park OK
• So BJ
• Rho BS

• KMID: 1543084
• DOI: http://doi.org/10.4070/kcj.1997.27.8.887

Abstract

Takayasu's arteritis(TA) is a nonspecific areritis of unknown etiology affecting segmentally the aorta and its main branches, which result in stenosis, occlusion or aneurysm of involved arteries. The clinical manifestations present with a variety of symptoms such as headache, dyspnea on exertion, pain and weakness of extremities, pulse deficit, and hypertension according to involves arteries. Usually it can be managed by medical or surgical treatment, and recently by percutaneous transluminal balloon angioplasty. The type III classified by Lupi-Herrena and associates is the most frequent variety of TA. However the case of type III involving both subclavin arteries and both renal arteries has rarely been reported. We experienced a case of TA involving both subcalvian arteries, and both renal arteries presented with paroxysmal hypertension and right flank pain, in which the stenosis of both subclavian arteries were managed by percutaneous transluminal balloon angioplasty and the stenosis and occlusion of both renal arteries were successfully managed by aorto-renal bypass surgery with autogenous right iliac artery and synthetic vessel(Gortex). The patient was discharged uneventfully.

Keyword

Takayasu's arteritis(TA); Renal artery; Subclavian artery; Hypertension

MeSH Terms

Aneurysm
Angioplasty, Balloon
Aorta
Arteries*
Constriction, Pathologic*
Dyspnea
Extremities
Flank Pain
Headache
Humans
Hypertension
Iliac Artery
Renal Artery*
Subclavian Artery
Takayasu Arteritis*