Chronic dissection of the abdominal aorta as a rare complication of Takayasu disease

Echchikhi Meryem; Essaber Hatim; Ekekang Candido Sergio; Ben El Hosni Khadija; Nassar Ittimade; Moatassim Billah Nabil

doi:10.1016/j.radcr.2020.08.018

Chronic dissection of the abdominal aorta as a rare complication of Takayasu disease

Radiol Case Rep. 2020 Sep 4;15(11):2188-2191. doi: 10.1016/j.radcr.2020.08.018. eCollection 2020 Nov.

Authors

Echchikhi Meryem¹, Essaber Hatim¹, Ekekang Candido Sergio², Ben El Hosni Khadija¹, Nassar Ittimade¹, Moatassim Billah Nabil¹

Affiliations

¹ Central Radiology Department, CHU Ibn Sina, Rabat, Morocco.
² Traumatology Department, Military Hospital Mohamed V, Rabat, Morocco.

Abstract

Takayasu's arteritis exposes to complications of varying severity, such as arterial stenosis, thrombosis, and more rarely aneurysms. Aortic dissection is a rare complication of Takayasu's disease, reported in few times in the literature, only 7 of which concern the abdominal aorta. We report the case of a 41-year-old woman followed for Takayasu disease for 15 years, who presented an asymptomatic and chronic dissection of the abdominal subrenal aorta. The patient underwent conservative medical treatment. After a follow-up of 17 months, the aortic dissection was still asymptomatic, with a stable appearance on follow-up imaging. To our knowledge, this is the first case report of asymptomatic aortic dissection as a rare complication of Takayasu disease.

Keywords: Dissection; Subrenal aorta; Takayasu disease.

Publication types

Case Reports