Takayasu arteritis with multiple coronary involvement and early graft relapse

Leonardo Miranda Macedo; Neiberg de Alcantara Lima; Ricardo Lessa de Castro Junior; Susan Faragher Bannon

doi:10.1136/bcr-2019-229383

Takayasu arteritis with multiple coronary involvement and early graft relapse

BMJ Case Rep. 2019 Apr 30;12(4):e229383. doi: 10.1136/bcr-2019-229383.

Authors

Leonardo Miranda Macedo¹, Neiberg de Alcantara Lima², Ricardo Lessa de Castro Junior², Susan Faragher Bannon²

Affiliations

¹ Internal Medicine, Universidade Federal do Ceara, Fortaleza, CE, Brazil.
² Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.

Abstract

Coronary artery disease (CAD) due to Takayasu arteritis (TA) is rare. This article reports a case of severe involvement of multiple coronary arteries in a young woman. She was treated with coronary artery bypass grafting and had an early venous graft stenosis despite immunosuppressants. She became asymptomatic one year after a drug-eluting stent placement. This report shows the complexity of the diagnostic and therapeutic approach to TA with complex CAD.

Keywords: ischaemic heart disease; vasculitis.

Publication types

Case Reports

MeSH terms

Coronary Angiography
Coronary Artery Bypass
Coronary Artery Disease / physiopathology
Coronary Artery Disease / surgery*
Coronary Stenosis / physiopathology
Coronary Stenosis / surgery*
Drug-Eluting Stents
Female
Humans
Recurrence
Takayasu Arteritis / diagnosis*
Takayasu Arteritis / physiopathology
Takayasu Arteritis / surgery
Treatment Outcome
Young Adult