
Takayasu arteritis with multiple coronary involvement and early graft relapse
Author(s) -
Leonardo Miranda Macedo,
Neiberg de Alcantara Lima,
Ricardo Lessa de Castro,
Susan Ban
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-229383
Subject(s) - medicine , takayasu arteritis , asymptomatic , cardiology , bypass grafting , coronary artery disease , arteritis , artery , stenosis , drug eluting stent , rare disease , radiology , stent , disease , vasculitis , restenosis
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.