Pulmonary valvular stenosis associated with Takayasu's Disease. Favorable response to corticosteroids. A case report.
The authors describe the first reported case of type IV Takayasu's arteritis with pulmonary valve stenosis. After thirty months under corticosteroid therapy the disappearance of the pulmonary valve stenosis signs was observed in the patient. In the same patient coarctation of the aorta, aortic insufficiency, stenosis of both pulmonary arteries, and left coronary artery stenosis were observed. This case illustrates the extensive cardiovascular involvement that can occur in Takayasu's arteritis and suggests that pulmonary valvular stenosis could be secondary to the same inflammatory process.
Rangel
A
A
Departamento de Hemodinamia de la Division de Cardiologia, Hospital de Especialidades y Hospital General, Centro Medico "La Raza" Mexico, D.F.
Baduí
E
E
Jara
L J
LJ
Chávez
E
E
Solorio
S
S
Enciso
R
R
Verdín
R
R
Marin
G
G
D000328:Adult; D001379:Azathioprine / Q000627:therapeutic use; D003097:Collateral Circulation; D017023:Coronary Angiography; D003326:Coronary Circulation; D004359:Drug Therapy, Combination; D004452:Echocardiography; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D011241:Prednisone / Q000627:therapeutic use*; D011666:Pulmonary Valve Stenosis / Q000150:complications* / Q000000981:diagnostic imaging; D013625:Takayasu Arteritis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D016896:Treatment Outcome
D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D001379:Azathioprine; D011241:Prednisone