Takayasu arteritis with multiple coronary involvement and early graft relapse

Coronary artery disease (CAD) due to Takayasu arteritis (TA) is rare. This article reports a case of severe involvement of multiple coronary arteries in a young woman. She was treated with coronary artery bypass grafting and had an early venous graft stenosis despite immunosuppressants. She became a...

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Veröffentlicht in:	BMJ case reports 2019-04, Vol.12 (4), p.e229383
Hauptverfasser:	Macedo, Leonardo Miranda, Lima, Neiberg de Alcantara, de Castro Junior, Ricardo Lessa, Bannon, Susan Faragher
Format:	Artikel
Sprache:	eng
Schlagworte:	Cardiology Cardiovascular disease Case reports Coronary Angiography Coronary Artery Bypass Coronary Artery Disease - physiopathology Coronary Artery Disease - surgery Coronary Stenosis - physiopathology Coronary Stenosis - surgery Coronary vessels Data analysis Drug-Eluting Stents Female Heart surgery Humans Inflammation Medical imaging Medical prognosis Pain Patients Recurrence Rheumatology Stents Takayasu Arteritis - diagnosis Takayasu Arteritis - physiopathology Takayasu Arteritis - surgery Tomography Treatment Outcome Unusual Association of Diseases/Symptoms Vein & artery diseases Womens health Young Adult
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Zusammenfassung:	Coronary artery disease (CAD) due to Takayasu arteritis (TA) is rare. This article reports a case of severe involvement of multiple coronary arteries in a young woman. She was treated with coronary artery bypass grafting and had an early venous graft stenosis despite immunosuppressants. She became asymptomatic one year after a drug-eluting stent placement. This report shows the complexity of the diagnostic and therapeutic approach to TA with complex CAD.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2019-229383