Stenting of the Left Main Coronary Artery in a Patient With Takayasu's Arteritis.
- Author:
Hyo Keun LEE
1
;
June NAMGUNG
;
Won Ho CHOI
;
Hyunmin CHOE
;
Sung Uk KWON
;
Joon Hyung DOH
;
Sung Yun LEE
;
Won Ro LEE
Author Information
- Publication Type:Case Report
- Keywords: Takayasu arteritis; Coronary artery disease; Percutaneous transluminal coronary angioplasty
- MeSH: Angioplasty, Balloon; Angioplasty, Balloon, Coronary; Constriction, Pathologic; Coronary Artery Bypass; Coronary Artery Disease; Coronary Vessels; Humans; Myocardial Infarction; Percutaneous Coronary Intervention; Stents; Takayasu Arteritis; Transplants
- From:Korean Circulation Journal 2011;41(1):34-37
- CountryRepublic of Korea
- Language:English
- Abstract: Management of Takayasu's arteritis of the left main coronary artery (LMCA) is difficult because of the possibility of restenosis. Clinically significant stenotic lesions must be considered anatomical correlation. Many studies have reported that the management of stenotic lesions of the LMCA with endoluminal stenting and balloon angioplasty and de-novo stenting is safe and effective for patients with Takayasu's arteritis. We report the case of a patient with Takayasu's arteritis of the LMCA. The patient had undergone two consecutive percutaneous coronary interventions because of recurrent restenosis of in-stent lesions, and eventually underwent coronary artery bypass graft (CABG) surgery for myocardial infarction in the same lesion. We suggested treatment with CABG because the pathophysiology of Takayasu's arteritis is different from that of atherosclerotic stenosis.
