Repeat Revascularization for Severe Recurrent Coronary Artery Disease in a Young Woman With Takayasu Arteritis

Mahesh V Madhavan; Ellie J Coromilas; Timothy J Poterucha; Shepard D Weiner; Craig R Smith; Megha Prasad; Dimitri Karmpaliotis; Tamim M Nazif

doi:10.1016/j.jaccas.2019.12.009

Repeat Revascularization for Severe Recurrent Coronary Artery Disease in a Young Woman With Takayasu Arteritis

JACC Case Rep. 2020 Jan 15;2(1):77-81. doi: 10.1016/j.jaccas.2019.12.009. eCollection 2020 Jan.

Authors

Mahesh V Madhavan^{1

2}, Ellie J Coromilas¹, Timothy J Poterucha¹, Shepard D Weiner¹, Craig R Smith³, Megha Prasad^{1

2}, Dimitri Karmpaliotis^{1

2}, Tamim M Nazif^{1

2}

Affiliations

¹ Department of Medicine, Division of Cardiology, NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York.
² Cardiovascular Research Foundation, New York, New York.
³ Department of Surgery, Division of Cardiothoracic Surgery, NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York.

Abstract

A young woman with Takayasu arteritis presented with an acute coronary syndrome with ostial left main coronary artery stenosis. She underwent urgent coronary artery bypass surgery but developed recurrent symptoms 6 months later owing to graft failure. She was treated with percutaneous coronary intervention with resolution of her symptoms. (Level of Difficulty: Beginner.).

Keywords: CABG, coronary artery bypass grafting; DES, drug-eluting stent; LAD, left anterior descending coronary artery; LIMA, left internal mammary artery; LMCA, left main coronary artery; PCI, percutaneous coronary intervention; RCA, right coronary artery; RIMA, right internal mammary artery; SVG, saphenous vein graft; coronary artery bypass; percutaneous coronary intervention; vascular disease.

Publication types

Case Reports