Unique Case of Takayasu Arteritis with Severe Distal Aortic Stenosis and Iliac Thrombosis
| Autor: | Nedaa Skeik, Claire A. Ostertag-Hill, Jason Q. Alexander, Ameen K. Abdo |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Computed Tomography Angiography Critical Illness Aortic Diseases Arterial Occlusive Diseases 030204 cardiovascular system & hematology Aortography Iliac Artery Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Aneurysm medicine.artery Large vessel vasculitis medicine Humans 030203 arthritis & rheumatology business.industry Thrombosis General Medicine Middle Aged medicine.disease Arterial occlusion Common iliac artery Takayasu Arteritis Surgery Stenosis Etiology Female Radiology Presentation (obstetrics) Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of vascular surgery. 32 |
| ISSN: | 1615-5947 |
| Popis: | Takayasu arteritis is a rare, chronic large vessel vasculitis of unknown etiology which predominantly affects women younger than 40 years of age. Symptoms are highly variable based on the location and extent of the stenosis, arterial occlusion, aneurysm, and thrombosis. Diagnosis is based on clinical presentation, relevant laboratory work-up, and imaging findings of wall thickening and stenosis of medium and large vessels. Management includes glucocorticoid therapy, frequently paired with adjunctive immunosuppressants, and sometimes surgical intervention in severe cases. Here, we present a unique case of Takayasu arteritis with critical distal aortic stenosis with very severe wall thickening involving the bilateral common iliac artery and leading to left iliac artery thrombosis. Based on our literature review, our article represents a very rare presentation of Takayasu arteritis with severe iliac artery thrombosis. |
| Databáze: | OpenAIRE |
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