title: Unique Case of Takayasu Arteritis with Severe Distal Aortic Stenosis and Iliac Thrombosis.
abstract: Takayasu arteritis is a rare, chronic large vessel vasculitis of unknown etiology which predominantly affects women younger than 40 years of age. Symptoms are highly variable based on the location and extent of the stenosis, arterial occlusion, aneurysm, and thrombosis. Diagnosis is based on clinical presentation, relevant laboratory work-up, and imaging findings of wall thickening and stenosis of medium and large vessels. Management includes glucocorticoid therapy, frequently paired with adjunctive immunosuppressants, and sometimes surgical intervention in severe cases. Here, we present a unique case of Takayasu arteritis with critical distal aortic stenosis with very severe wall thickening involving the bilateral common iliac artery and leading to left iliac artery thrombosis. Based on our literature review, our article represents a very rare presentation of Takayasu arteritis with severe iliac artery thrombosis.
authors.affiliation: Minneapolis Heart Institute Research Foundation, Minneapolis, MN.
authors.forename: Claire A
authors.initials: CA
authors.lastname: Ostertag-Hill
authors.affiliation: Minneapolis Heart Institute Research Foundation, Minneapolis, MN.
authors.forename: Ameen K
authors.initials: AK
authors.lastname: Abdo
authors.affiliation: Vascular Surgery, Abbott Northwestern Hospital/Minneapolis Heart Institute, Minneapolis, MN.
authors.forename: Jason Q
authors.initials: JQ
authors.lastname: Alexander
authors.affiliation: Vascular Medicine, Abbott Northwestern Hospital/Minneapolis Heart Institute, Minneapolis, MN. Electronic address: nedaa.skeik@allina.com.
authors.forename: Nedaa
authors.initials: N
authors.lastname: Skeik
mesh_terms: D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D001027:Aortography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000072226:Computed Tomography Angiography; D016638:Critical Illness; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008875:Middle Aged; D012720:Severity of Illness Index; D013625:Takayasu Arteritis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy