Open AccessTakayasu's aorto-arteritis: Not your regular lesion for angioplasty
Author(s) -
Navdeep Singh,
Vivek Athwani,
Vikas Bansal,
Shaveta Kundra
Publication year - 2018
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_28_18
Subject(s) - medicine , arteritis , angioplasty , takayasu's arteritis , dissection (medical) , balloon , lesion , coarctation of the aorta , aorta , surgery , cardiology , radiology , disease , vasculitis
We report a case of a 6-year-old female child with Takayasu's aorto-arteritis (TA) with severe coarctation of the aorta which resulted in an aortic dissection post-ballooning. This happened despite ensuring that markers for disease activity were negative, with appropriate corticosteroid therapy started before the procedure, and using a low-profile, low-pressure, and slightly undersized balloon for dilating the stenotic segment. It required immediate endovascular stenting to tide over the crisis. Following the procedure, she became normotensive with well-palpable lower limb pulses.