Open AccessWinslow Pathway Collaterals: An Unusual Arterial Network in Takayasu Arteritis
Author(s) -
Subodh Gururani,
Sreejitha K Sreesailam,
Ramakrishrayanan,
Phani Kumar Devarasetti,
Liza Rajasekhar
Publication year - 2020
Publication title -
journal of the royal college of physicians of edinburgh/the journal of the royal college of physicians of edinburgh
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.275
H-Index - 26
eISSN - 2042-8189
pISSN - 1478-2715
DOI - 10.4997/jrcpe.2020.317
Subject(s) - medicine , takayasu's arteritis , claudication , arteritis , collateral circulation , cardiology , arteriogenesis , stroke (engine) , internal thoracic artery , artery , surgery , ischemia , vascular disease , arterial disease , disease , vasculitis , mechanical engineering , bypass grafting , engineering
Takayasu arteritis which is reported more commonly from Asia and in females can present as middle aortic syndrome with lower limb claudication. We present a case of a young male with Takayasu arteritis with middle aortic syndrome and Winslow pathway collaterals with lower limb ischaemia, hypertension, coronary occlusion and stroke. The extensive collateral formation was visible as a clinical finding over the abdominal wall. The identification of these collateral pathways is essential in understanding the extent of haemodynamically significant disease and it alerts to the possibility of surgical injury during procedures like laparotomy or harvesting of internal thoracic artery for coronary artery bypass graft.