Korean Circ J.  1997 Feb;27(2):213-218. 10.4070/kcj.1997.27.2.213.

A Case of Takaysu Arteritis Associated with Complete Obstruction of Descending Thoracic Aorta and Stenosis of the Right Coronary Artery

• Kim HS
• Lee JY
• Yoo BS
• Ahn SC
• Yoon JH
• Choe KH
• Park KS

• KMID: 1938610
• DOI: http://doi.org/10.4070/kcj.1997.27.2.213

Abstract

Takaysu arteritis is a systemic disease characterized by stenosis or obstruction of aorta and its branches. Its etiology is unknown but clinical and serologic data suggest autoimmune process. Coronary artery involvement has been uncommon, but potentially fatal complication of Takayasu arteritis. A 41-year old female patients was presented with exertional dyspnea and anterioi chest pain of 2 week duration. Systolic bruit was heard at the both middle portion of internal carotid artery areas. Both radial arteries were palpated well but both femoral, popliteal and doralis pedis arteries were palpated weakly. Aortogram showed complete obstruction of descending thoracic aorta and collateral circulation of internal mammary artery. Coronary angiogram showed 80% stenosis at the middle portion of the right coronary artery. Calcium channel blocker and antiplatelet agent were prescribed. And her clinical symptom improved.

Keyword

Takayasu arteritis; Complete obstruction of aorta; Coronary artery stenosis

MeSH Terms

Adult
Aorta
Aorta, Thoracic*
Arteries
Arteritis*
Calcium Channels
Carotid Artery, Internal
Chest Pain
Collateral Circulation
Constriction, Pathologic*
Coronary Stenosis
Coronary Vessels*
Dyspnea
Female
Humans
Mammary Arteries
Radial Artery
Takayasu Arteritis
Calcium Channels