title: Dilated cardiomyopathy being the presenting manifestation of Takayasu arteritis and treated with renal angioplasty.
abstract: Dilated cardiomyopathy (DCM) is an uncommon complication of Takayasu arteritis (TA) with a prevalence of about 6%. We report a case of 14-year-old girl who presented with dyspnea, bipedal edema, loss of weight, and easy fatigability for three months. She was being treated for DCM for the same duration. Clinical examination revealed absence of both upper limb pulses. Echocardiography revealed features of DCM with severe biventricular dysfunction (ejection fraction 30%). Computed tomography angiogram confirmed the diagnosis of TA and revealed the presence of bilateral renal artery stenosis. Bilateral renal angioplasty was done, and immunosuppressant therapy with oral prednisolone and weekly oral methotrexate was started.
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India dr_soumyapatra@rediffmail.com.
authors.forename: Soumya
authors.initials: S
authors.lastname: Patra
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors.forename: Usha Mandikal Kodanda Rama
authors.initials: UM
authors.lastname: Sastry
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors.forename: Jayranganath
authors.initials: J
authors.lastname: Mahimaiha
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors.forename: Anand P
authors.initials: AP
authors.lastname: Subramanian
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors.forename: Ravindranath K
authors.initials: RK
authors.lastname: Shankarappa
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors.forename: Manjunath C
authors.initials: MC
authors.lastname: Nanjappa
mesh_terms: D000293:Adolescent; D017130:Angioplasty; D002311:Cardiomyopathy, Dilated / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D008727:Methotrexate / Q000008:administration & dosage; D011239:Prednisolone / Q000008:administration & dosage; D012078:Renal Artery Obstruction / Q000209:etiology / Q000601:surgery*; D013625:Takayasu Arteritis / Q000150:complications*
chemical_list: D007166:Immunosuppressive Agents; D011239:Prednisolone; D008727:Methotrexate
keywords: Takayasu arteritis; dilated cardiomyopathy; renal angioplasty