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

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6 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

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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    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