1. Takayasu's Arteritis Treated by Percutaneous Transluminal Angioplasty with Stenting in the Descending Aorta
- Author
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Byung-Ju Shim, Ho-Joong Youn, Wook-Sung Chung, Kyu-Bo Choi, Woo-Tae Kim, Seung-Eun Jung, Yong Seok Oh, Yun-Seok Choi, Dong Hyun Lee, Soon-Jo Hong, Chul Soo Park, Jae-Hyung Kim, Yong-Chul Kim, and Seong-Tai Hahn
- Subjects
Aortic arch ,medicine.medical_specialty ,Adolescent ,Takayasu's arteritis ,Case Report ,Aorta, Thoracic ,medicine.artery ,Internal medicine ,Ascending aorta ,Medicine ,Thoracic aorta ,Humans ,Arteritis ,Aorta, Abdominal ,Renal artery ,Ultrasonography ,Stenosis ,business.industry ,Abdominal aorta ,Angioplasty ,Angiography ,General Medicine ,medicine.disease ,Takayasu Arteritis ,Surgery ,Carotid Arteries ,Descending aorta ,Cardiology ,Female ,Stents ,business ,Tomography, X-Ray Computed ,Angioplasty, Balloon - Abstract
A 17-yr-old young woman was referred to our hospital with a 2-yr history of claudi- cation of the lower extremities and severe arterial hypertension. Physical examina- tion revealed significantly different blood pressures between both arms (160/92 and 180/95 mmHg) and legs (92/61 and 82/57 mmHg). The hematological and biochemical values were within their normal ranges, except for the increased ery- throcyte sedimentation rate (83 mm/hr) and C-reactive protein (6.19 mg/L). On 3- dimensional computed tomographic angiography, the ascending aorta, the aortic arch and its branches, and the thoracic and, descending aorta, but not the renal artery, were shown to be stenotic. The diagnosis of type IIb Takayasu's arteritis was made according to the new angiographic classification of Takayasu's arteritis, Takyasu conference 1994. Percutaneous transluminal angioplasty with stenting was performed on the thoracic and abdominal aorta. After the interventional proce- dures, the upper extremity blood pressure improved from 162/101 mmHg to 132/85 mmHg, respectively. She has been free of claudication and there have been no cardiac events during 2-yr of clinical follow-up.
- Published
- 2008