Multiple bailout interventions in a case of Takayasu's arteritis.
OBJECTIVE
Takayasu's arteritis (TA) is a non-specific, chronic, inflammatory panarteritis, affecting the aorta, its major branches and pulmonary arteries. The percutaneous or surgical revascularization in these patients is often difficult and challenging because of diffuse and multi-vessel involvement, difficulty in management of disease activity, and high rate of restenosis and re-intervention.


METHODS
We report a 33-year-old man, a case of TA with fulminant active disease and multi-vessel involvement. His disease activity could not be suppressed with steroid treatment. He had multiple sequential bailout interventions of carotid, left main coronary and mesenteric arteries secondary to cerebro-vascular event, angina and mesenteric ischemia, respectively.


CONCLUSIONS
Despite comprehensive multi-specialty approach in management and also the global revascularization, he ultimately died of acute mesenteric ischemia. To our knowledge, there is no similar type of case being published in world literature till date.
Vijayvergiya
Rajesh
R
Bali
Harinder K
HK
Sinha
Saroj K
SK
Jha
Ashish
A
Sharma
Rajat
R
Grover
Anil
A
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D003131:Combined Modality Therapy / Q000379:methods; D004359:Drug Therapy, Combination; D017809:Fatal Outcome; D006801:Humans; D007813:Laparotomy; D008297:Male; D013625:Takayasu Arteritis / Q000175:diagnosis* / Q000628:therapy*