Journal of Lipid and Atherosclerosis  2013;2(2):97-102

doi:10.12997/jla.2013.2.2.97

Successful Endovascular Aortic Repair in a Young Female with Takayasu's Arteritis Presenting with Uncontrolled Hypertension.

Sang Hun PARK 1 ; Hae Chang JEONG ; Keun Ho PARK ; Doo Sun SIM ; Young Joon HONG ; Ju Han KIM ; Youngkeun AHN ; Myung Ho JEONG

Affiliations

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Keywords

Arteritis; Hypertension; Angioplasty

Country

Republic of Korea

Language

English

Abstract

A 21-year-old female presented with uncontrolled hypertension. Neck, abdomen, chest computed tomography angiogram showed moderate stenosis in the left common carotid artery and the left subclavian artery, and multiple severe stenosis in the transitional area between the descending thoracic aorta and the abdominal aorta. Transthoracic echocardiography and aortography revealed that the pressure gradient between the descending thoracic aorta and the abdominal aorta was 80 mmHg. She underwent angioplasty with stent implantation. After stent implantation, claudication improved significantly, and the pressure gradient decreased to 18 mmHg. The blood pressure was normalized with single anti-hypertensive medication, and no adverse clinical event occurred during five-year follow-up.