Takayasu's arteritis involving the ostia of three large coronary arteries

Jin Sup Park, Han Cheol Lee, Sang Kwon Lee, Sang Pil Kim, Yeong Dae Kim, Min Soo Ahn, Taek Jong Hong

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Takayasu's arteritis can involve the ostia of coronary arteries. We report a patient with Takayasu's arteritis involving the ostia of three large coronary arteries who was successfully treated by percutaneous coronary intervention (PCI) with a drug-eluting stent (DES) and had a good clinical outcome after 12 months. A 37-year-old male with unstable angina was admitted to our cardiovascular center. The patient had Takayasu's arteritis and an aortic valve replacement with a metallic valve due to severe aortic regurgitation 7 years previously. Coronary angiography (CAG) showed a 95% discrete eccentric luminal narrowing at the ostia of the large left anterior descending (LAD) and left circumflex (LCX) arteries, and a 99% discrete eccentric luminal narrowing at the ostium of the large right coronary artery (RCA). The patient was treated with prednisolone for 14 days. Two large paclitaxel-eluting stents (PES) were then implanted in the distal left main coronary artery using the kissing stent technique. After 6 months, a CAG did not reveal restenosis or recurrent coronary artery disease. Thus, PCI with a DES for patients with significant coronary involvement secondary to Takayasu's arteritis is an effective and an alternative treatment when coronary bypass grafting is not option.

Original languageEnglish
Pages (from-to)551-555
Number of pages5
JournalKorean Circulation Journal
Volume39
Issue number12
DOIs
Publication statusPublished - 2009 Dec 1

Fingerprint

Takayasu Arteritis
Coronary Vessels
Drug-Eluting Stents
Percutaneous Coronary Intervention
Coronary Angiography
Stents
Aortic Valve Insufficiency
Unstable Angina
Prednisolone
Paclitaxel
Aortic Valve
Coronary Artery Disease
Arteries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Park, J. S., Lee, H. C., Lee, S. K., Kim, S. P., Kim, Y. D., Ahn, M. S., & Hong, T. J. (2009). Takayasu's arteritis involving the ostia of three large coronary arteries. Korean Circulation Journal, 39(12), 551-555. https://doi.org/10.4070/kcj.2009.39.12.551
Park, Jin Sup ; Lee, Han Cheol ; Lee, Sang Kwon ; Kim, Sang Pil ; Kim, Yeong Dae ; Ahn, Min Soo ; Hong, Taek Jong. / Takayasu's arteritis involving the ostia of three large coronary arteries. In: Korean Circulation Journal. 2009 ; Vol. 39, No. 12. pp. 551-555.
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Takayasu's arteritis involving the ostia of three large coronary arteries. / Park, Jin Sup; Lee, Han Cheol; Lee, Sang Kwon; Kim, Sang Pil; Kim, Yeong Dae; Ahn, Min Soo; Hong, Taek Jong.

In: Korean Circulation Journal, Vol. 39, No. 12, 01.12.2009, p. 551-555.

Research output: Contribution to journalArticle

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