Cardiovasc Imaging Asia.  2020 Jan;4(1):34-36. 10.22468/cvia.2019.00157.

Surviving Takayasu's Arteritis—A Young Girl with Long Segment Stenosis of the Descending Thoracic Aorta and Myocarditis

• Abas SI
• Ramli KA
• Tiong KG
• Mohammed Y

• KMID: 2469177
• DOI: http://doi.org/10.22468/cvia.2019.00157

Abstract

We report the case of a 12-year-old girl who presented with heart failure symptoms that were treated as dilated cardiomyopathy. The echocardiogram showed a dilated left ventricle, poor ejection fraction, and long segment narrowing of the descending thoracic aorta. A cardiac CT further supported this finding; hence, the diagnosis of Takayasu's arteritis was proposed. The cardiac MRI revealed a non-ischemic pattern in delayed gadolinium enhancement at the lateral left ventricular wall. She was given steroidal therapy due to vasculitis but was later referred for stenting of the stenosed descending thoracic aorta.

Keyword

Takayasu's arteritis (TA); Cardiac magnetic resonance imaging (cardiac MRI); Vasculitis; Delayed gadolinium enhancement

MeSH Terms

Aorta, Thoracic*
Cardiomyopathy, Dilated
Child
Constriction, Pathologic*
Diagnosis
Female*
Gadolinium
Heart Failure
Heart Ventricles
Humans
Magnetic Resonance Imaging
Myocarditis*
Stents
Takayasu Arteritis
Vasculitis
Gadolinium