Takayasu's arteritis: case report of a patient with recurrent subclavian steal syndrome.
Takayasu's arteritis is a chronic inflammatory disease of unknown origin in which cell-mediated inflammation involves large arteries progressing from the adventitia to the intima, until the lumen of the vessel is narrowed. Here we report a case of a 48-year-old female patient who was diagnosed with Takayasu's arteritis 6 years ago. At that time, because of severe involvement of both the right and left carotid arteries, she underwent application of a Hemashield vascular prosthesis, including the ascending aorta, left common carotid artery, and right common carotid artery. Due to the fact that there were also bilateral subclavian artery stenoses, the application of the prosthesis induced bilateral subclavian steal syndrome. This year she developed stenosis of the prosthesis and the bilateral subclavian steal syndrome disappeared until she underwent percutaneous transluminal angioplasty, which restored cerebral flow through the carotid arteries after which the subclavian steal syndrome reappeared.
Di Renzo
Michela
M
Dipartimento di Medicina Interna e Scienze Immunologiche, Policlinico Le Scotte, 53100, Siena, Italy. cd28apo@hotmail.com
Pasqui
Anna Laura
AL
Pieragalli
Daniela
D
De Franco
Vincenco
V
Bracco
Sanora
S
Venturi
Carlo
C
Bruni
Fulvio
F
Puccetti
Luca
L
Verzuri
Maria Serena
MS
Auteri
Alberto
A
D000800:Angioplasty, Balloon; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D002560:Cerebrovascular Circulation; D005260:Female; D006083:Graft Occlusion, Vascular / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D013349:Subclavian Steal Syndrome / Q000209:etiology*; D013625:Takayasu Arteritis / Q000150:complications / Q000601:surgery*