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

Q4 Medicine

Radiology Case Reports Pub Date : 2024-11-14 DOI:10.1016/j.radcr.2024.10.048

Ana Álvarez Vázquez MD , Julia López Alcolea MD , Javier Urmeneta Ulloa MD, PhD , Alberto Forteza Gil MD , Jorge Rivas Oyarzabal MD , José Ángel Cabrera Rodríguez MD, PhD , Manuel Recio Rodríguez MD, PhD , Gonzalo Pizarro Sánchez MD , Vicente Martinez de Vega MD

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引用次数: 0

Abstract

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.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.