Diffused coronary involvement in Takayasu arteritis with concomitant malignancy

Clin Rheumatol. 2022 Mar;41(3):921-928. doi: 10.1007/s10067-021-06000-2. Epub 2021 Nov 27.

Abstract

Large vessel vasculitis (LVV) is composed of conditions in which inflammation of blood vessel walls affects mainly large arteries, such as the aorta and its main branches, and in some cases the coronary arteries. Coronary artery involvement in systemic vasculitis is associated with significant morbidity and mortality. We present a case of a young patient diagnosed with extensive coronary disease diagnosed as Takayasu arteritis, when whom a concomitant diagnosis of Hodgkin's lymphoma was made. The literature review revealed ten cases of malignancies associated with Takayasu arteritis. We discuss the complexity of the management of concurrent hematological malignancy with TAK and extensive coronary arteritis. This complicated and cross-disciplinary case also represents the pivotal importance of multi-disciplinary team decision in order to achieve the best clinical outcome of both disorders.

Keywords: Coronary artery disease; Malignancy and large vessel vasculitis; Takayasu arteritis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Coronary Disease*
  • Coronary Vessels
  • Heart
  • Humans
  • Neoplasms* / complications
  • Takayasu Arteritis* / complications
  • Takayasu Arteritis* / diagnostic imaging