Long-Term Clinical Follow-up in A Case of Takayasu's Arteritis Involving the Ostium of Left Coronary Artery after Ostioplasty.
10.4070/kcj.2001.31.2.246
- Author:
Kyung Tae KANG
;
Myung Ho JEONG
;
Woo Kon JEONG
;
Sang Hyun LEE
;
Jay Young RHEW
;
Jong Cheol PARK
;
Young Keun AHN
;
Jong Tae PARK
;
Jeong Gwan CHO
;
Byoung Hee AHN
;
Sang Hyung KIM
;
Jong Chun PARK
;
Jung Chaee KANG
- Publication Type:Case Report
- MeSH:
Adult;
Arm;
Chest Pain;
Collateral Circulation;
Constriction, Pathologic;
Coronary Vessels*;
Depression;
Electrocardiography;
Exercise Test;
Female;
Follow-Up Studies*;
Heart Ventricles;
Humans;
Ischemia;
Perfusion;
Physical Examination;
Subclavian Artery;
Takayasu Arteritis*;
Tomography, Emission-Computed, Single-Photon
- From:Korean Circulation Journal
2001;31(2):246-250
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 25-year-old woman presented with effort-induced chest pain. Physical examination revealed different blood pressures, 180/100 mmHg in right arm and 100/60 mmHg in left arm. Resting electrocardiogram was normal, but down-slope depression of ST segment more than 3 mm in V3-6, II, III, aVF developed at the stage 1 of treadmill exercise test. Stress Thallium-201 scan showed severe ischemia in the anteroseptal and lateral wall of left ventricle. Diagnostic coronary angiogram showed critical stenosis in the ostium of left main coronary artery. The left subclavian artery was occluded totally with well-developed collateral circulation. The patient underwent ostioplasty of left coronary ostium using pericardial patch, and her symptom improved after surgery. Follow-up coronary angiogram one year after surgery showed patent coronary artery ostium with good flow and myocardial perfusion improved on follow-up Thallium-201 SPECT. She has no major cardiac events during 7-year clinical follow-up.
