Korean Circ J.  2001 Feb;31(2):246-250. 10.4070/kcj.2001.31.2.246.

Long-Term Clinical Follow-up in A Case of Takayasu's Arteritis Involving the Ostium of Left Coronary Artery after Ostioplasty

• Kang KT
• Jeong MH
• Jeong WK
• Lee SH
• Rhew JY
• Park JC
• Ahn YK
• Park JT
• Cho JG
• Ahn BH
• Kim SH
• Park JC
• Kang JC

• KMID: 1858591
• DOI: http://doi.org/10.4070/kcj.2001.31.2.246

Abstract

A 25-year-old woman presented with effort-induced chest pain. Physical examination revealed different blood pressures, 180/100 mmHg in right arm and 100/60 mmHg in left arm. Resting electrocardiogram was normal, but down-slope depression of ST segment more than 3 mm in V3-6, II, III, aVF developed at the stage 1 of treadmill exercise test. Stress Thallium-201 scan showed severe ischemia in the anteroseptal and lateral wall of left ventricle. Diagnostic coronary angiogram showed critical stenosis in the ostium of left main coronary artery. The left subclavian artery was occluded totally with well-developed collateral circulation. The patient underwent ostioplasty of left coronary ostium using pericardial patch, and her symptom improved after surgery. Follow-up coronary angiogram one year after surgery showed patent coronary artery ostium with good flow and myocardial perfusion improved on follow-up Thallium-201 SPECT. She has no major cardiac events during 7-year clinical follow-up.

MeSH Terms

Adult
Arm
Chest Pain
Collateral Circulation
Constriction, Pathologic
Coronary Vessels*
Depression
Electrocardiography
Exercise Test
Female
Follow-Up Studies*
Heart Ventricles
Humans
Ischemia
Perfusion
Physical Examination
Subclavian Artery
Takayasu Arteritis*
Tomography, Emission-Computed, Single-Photon