Takayasu's Arteritis Treated by Percutaneous Transluminal Angioplasty with Stenting in the Descending Aorta.
10.3346/jkms.2008.23.3.551
- Author:
Byung Ju SHIM
1
;
Ho Joong YOUN
;
Yong Chul KIM
;
Woo Tae KIM
;
Yun Seok CHOI
;
Dong Hyun LEE
;
Chul Soo PARK
;
Yong Seok OH
;
Wook Sung CHUNG
;
Jae Hyung KIM
;
Kyu Bo CHOI
;
Soon Jo HONG
;
Seung Eun JUNG
;
Seong Tai HAHN
Author Information
1. Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. younhj@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Arteritis;
Stenosis;
Angioplasty
- MeSH:
Adolescent;
Angiography;
*Angioplasty, Balloon;
Aorta, Abdominal/radiography;
*Aorta, Thoracic/radiography;
Carotid Arteries/ultrasonography;
Female;
Humans;
*Stents;
Takayasu Arteritis/radiography/*therapy/ultrasonography;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2008;23(3):551-555
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 17-yr-old young woman was referred to our hospital with a 2-yr history of claudication of the lower extremities and severe arterial hypertension. Physical examination revealed significantly different blood pressures between both arms (160/92 and 180/95 mmHg) and legs (92/61 and 82/57 mmHg). The hematological and biochemical values were within their normal ranges, except for the increased erythrocyte sedimentation rate (83 mm/hr) and C-reactive protein (6.19 mg/L). On 3- dimensional computed tomographic angiography, the ascending aorta, the aortic arch and its branches, and the thoracic and, descending aorta, but not the renal artery, were shown to be stenotic. The diagnosis of type IIb Takayasu's arteritis was made according to the new angiographic classification of Takayasu's arteritis, Takyasu conference 1994. Percutaneous transluminal angioplasty with stenting was performed on the thoracic and abdominal aorta. After the interventional procedures, the upper extremity blood pressure improved from 162/101 mmHg to 132/85 mmHg, respectively. She has been free of claudication and there have been no cardiac events during 2-yr of clinical follow-up.
