Korean Circ J.  1992 Apr;22(2):322-329. 10.4070/kcj.1992.22.2.322.

Two Cases of Takayasu's Aortitis Causing Acute Myocardial Infarction

• Baik SK
• Park KS
• Lee SH
• Choe KH
• Hwang SO

• KMID: 2229186
• DOI: http://doi.org/10.4070/kcj.1992.22.2.322

Abstract

The myocardial infarction is usually associated with the coronary artery disease in adults. It is unusual in chilhood and young adult but occasionally associated with coronary vasculitis. Takayasu's arteritis produces a panaortits with thickening of the adventitia and narrowing of aorta. Narrowing of coronary arteries is due to extension into these arteries of the processes of inflammation that occur in aorta. We report here two cases of Takayasu's aortitis causing acute myocardial infarction. Case 1 is a 17-year-old girl presented with the inferior myocardial infarction and the cerebral infarction. Digital subtraction aortography showed a diffuse narrowing of the aorta and the obstruction of both subclavian arteritis, right carotid artery and both femoral arteries. Case 2 is a 19-year-old male patient with anterior myocardial infarction. Coronary cineangiogram showed the beak like appearance of the left main coronay artery.

Keyword

Takayasu's arteritis; Myocardial infarction

MeSH Terms

Adolescent
Adult
Adventitia
Animals
Aorta
Aortitis*
Aortography
Arteries
Arteritis
Beak
Carotid Arteries
Cerebral Infarction
Coronary Artery Disease
Coronary Vessels
Female
Femoral Artery
Humans
Inferior Wall Myocardial Infarction
Inflammation
Male
Myocardial Infarction*
Takayasu Arteritis
Vasculitis
Young Adult