A case of Takayasu arteritis with normal coronary arteries presenting as stable angina

Abstract

Takayasu arteritis (TAK) is a type of large vessel vasculitis characterized by granulomatous inflammation involving the aorta and its main branches. Clinical presentation may vary from non specific symptoms such as fever, malaise, weight loss to manifestations of organ hypo perfusion. Cardiac involvement may take forms of valvular insufficiency, angina or heart failure. In this case, we report a 39-year-old woman with hypertension presenting with angina, who was found to have multiple arterial bruits, with blood pressure and pulse volume discrepancies, aortic regurgitation and renovascular hypertension. She was diagnosed with Takayasu arteritis with clinical and imaging criteria; managed with glucocorticoid and DMARDS, achieving good clinical response and planned for surgical intervention for valvular insufficiency.