CHSJ

Curr Health Sci J, vol. 44, no. 1, 2018

A Case of Severe Advanced Takayasu Arteritis with Acute Myocardial Infarction as First Manifestation

[Case Report]

A.R. MIHAILOVICI(1), I. DONOIU(2), O. ISTRATOAIE(2), G.C. TARTEA(3), A. BUCA(4)


(1)PhD student, University of Medicine and Pharmacy of Craiova, Romania,
(2)Department of Cardiology, University of Medicine and Pharmacy of Craiova, Romania,
(3)Department of Physiology, University of Medicine and Pharmacy of Craiova, Romania,
(4)Emergency Institute for Cardiovascular Diseases “Prof. Dr. C.C. Iliescu”, Bucharest, Romania


Abstract:

We present the case of a 53-year-old female who presented in the emergency room accusing chest pain, dyspnea to moderate physical strain and physical asthenia. The clinical exam highlighted the absence of pulse in the left upper limb, weak pulse at upper right and lower limbs. The angiography revealed severe coronary lesions, bilateral subclavian occlusion, bilateral renal artery occlusion, infrarenal aortic occlusion. The patient was diagnosed with Takayasu`s disease. Sequential interventional revascularization was performed. Takayasu arteritis is a rare disease that can easily be overlooked. It can present with severe coronary lesions which require a complex interventional and medical management.


Keywords: Takayasu arteritis, Myocardial infarction, Percutaneous transluminal coronary angioplasty



Corresponding: I. Donoiu, Department of Cardiology, University of Medicine and Pharmacy of Craiova, 2 Petru Rare Street, 200349 Craiova, Romania; e-mail: ionut.donoiu@umfcv.ro


DOI 10.12865/CHSJ.44.01.14 - Download PDF
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