Dramatik Tutulum! Takayasu Arteritine Bağlı Çoklu Damar Tutulumunun Eşlik Ettiği Sağ-Sol Koroner Ostial Darlıklı Bir Olgu

Abstract

Takayasu arteriti aort ve onun ana dalları gibi primer büyük damarları etkileyen kronik, idiyopatik, inflamatuvar ve sistemik bir hastalıktır. Takayasu arteritine bağlı %98 sol ana koroner ostial lezyonu ve %98 sağ koroner ostial lezyonu olan 37 yaşında kadın hastaya transaortik peç anjiyoplasti önerildi. Bu tekniğin özellikle Takayasu arteritine bağlı osteal lezyonlarda, konvansiyonel koroner baypasa göre daha uygun ve daha güvenilir bir alternatif olduğunu düşünmekteyiz.

Keywords

• Takayasu arteriti,aorta-ostial koroner lezyon,çoklu damar tutulumu

A Dramatic Involvement! A Case with Right-Left Coronary Ostial Stenosis Accompanied by Multiple Vascular Involvements due to Takayasu Arteritis

Abstract

Takayasu arteritis is a chronic, idiopathic, inflammatory, systemic disease that primarily affects large vessels such as the aorta and its main branches. A 37-year-old woman who had 98% left coronary ostial stenosis and right coronary ostial stenosis due to Takayasu arteritis was recommended transaortic patch enlargement of the stenosed left coronary ostium and right coronary ostium. We believe that this technique is more suitable and recommendable than conventional coronary bypass for coronary ostial stenosis in cases with Takayasu arteritis.

Keywords

• Takayasu arteritis,aorta-ostial coronary lesion,multiple vascular involvement

References

1. 1. Raikar S, Rezkalla S, Marshfield. Takayasu’s arteritis: a report of three cases. Wis Med J 1994;261-3.
2. 2. Park JH, Han MCh, Kim SH. Takayasu arteritis: angioraphic findings and results of anjioplasty. AJR 1989;153:1069-74.
3. 3. Tanaka M, Abe T, Takeuchi E. Revascularization for coronary ostial stenosis in Takayasu’s disease with calcified aorta. Ann Thorac Surg 1992;53:804-5.
4. 4. Ohara K, Kasegewa H, Ando T. Surgical treatment for coronary artery disease associated with aortitis syndrome. Jpn J Thorac Surg 1986;39:423-31.