Takayasu's arteritis causing coronary stenosis with myocardial ischemia, severe aortic regurgitation, and pericarditis.

Autor:	Álvarez Vázquez A; Radiology Department; Hospital Universitario QuironSalud Madrid, Diego de Velázquez 1, Pozuelo de Alarcón, España., López Alcolea J; Radiology Department; Hospital Universitario QuironSalud Madrid, Diego de Velázquez 1, Pozuelo de Alarcón, España., Urmeneta Ulloa J; Cardiology Department, Hospital Universitario QuironSalud Madrid, Diego de Velázquez 1, Pozuelo de Alarcón, España., Forteza Gil A; Cardiovascular Surgery Department, Hospital Universitario QuironSalud Madrid, Diego de Velázquez 1, Pozuelo de Alarcón, España., Rivas Oyarzabal J; Cardiovascular Surgery Department, Hospital Universitario QuironSalud Madrid, Diego de Velázquez 1, Pozuelo de Alarcón, España., Cabrera Rodríguez JÁ; Cardiology Department, Hospital Universitario QuironSalud Madrid, Diego de Velázquez 1, Pozuelo de Alarcón, España., Recio Rodríguez M; Radiology Department; Hospital Universitario QuironSalud Madrid, Diego de Velázquez 1, Pozuelo de Alarcón, España., Pizarro Sánchez G; Cardiology Department, Hospital Universitario Ruber Juan Bravo Quironsalud, Juan Bravo 49, Madrid, España., de Vega VM; Radiology Department; Hospital Universitario QuironSalud Madrid, Diego de Velázquez 1, Pozuelo de Alarcón, España.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2024 Nov 14; Vol. 20 (1), pp. 791-796. Date of Electronic Publication: 2024 Nov 14 (Print Publication: 2025).
DOI:	10.1016/j.radcr.2024.10.048
Abstrakt:	Takayasu's Arteritis (TA) is a rare, chronic large-vessel vasculitis that can lead to severe cardiac complications and life-threatening outcomes. Early diagnosis is essential for improving patient prognosis, but its nonspecific clinical presentation and laboratory findings often cause delays. We present a 34-year-old woman with a history of heart murmur who presented with chest pain but no additional symptoms. Imaging revealed aortic regurgitation, ventricular septal defect, myocardial ischemia, pericarditis, aortic wall thickening, and multivessel stenoses, leading to a diagnosis of Takayasu's Arteritis, treated with coronary bypass and aortic tube graft surgery. Takayasu's Arteritis should be included in the differential diagnosis of patients presenting with atypical clinical features and cardiac involvement, particularly in cases with valvular disease. This case highlights the essential role of multimodal imaging in the detection and management of TA. (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu