Takayasu arteritis masquerading as stable angina in a 29-year-old man.
Takayasu arteritis is a form of vasculitis that involves the aorta, its major branches, and the pulmonary arteries. Coronary artery involvement is not uncommon, and most frequently includes the ostia and proximal segments. Early diagnosis of Takayasu arteritis is difficult since it is a rare disease and is accompanied by various nonspecific clinical symptoms. However, recent advances in imaging modalities-including magnetic resonance angiography, computed tomography (CT), sonography, and fluoro-deoxyglucose positron emission tomography (FDG-PET)/CT Isobe (2013) [2]-have facilitated earlier and more accurate diagnoses of this condition. Here we report a case in which imaging revealed stenosis in the ostia of the coronary artery.
Department of Cardiology, Aerospace Center Hospital, 15 Yuquan road, Beijing 100049, People's Republic of China.
Lei
L
Wang
Department of Cardiology, Aerospace Center Hospital, 15 Yuquan road, Beijing 100049, People's Republic of China.
Teng
T
Ma
Department of Cardiology, Aerospace Center Hospital, 15 Yuquan road, Beijing 100049, People's Republic of China. Electronic address: raas@hsc.pku.edu.cn.
Yun-Tao
YT
Zhao
D000328:Adult; D060050:Angina, Stable / Q000175:diagnosis*; D002445:Celiac Artery / Q000000981:diagnostic imaging; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D003520:Cyclophosphamide / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D011241:Prednisone / Q000627:therapeutic use; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D013625:Takayasu Arteritis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D003520:Cyclophosphamide; D011241:Prednisone
Angina; Takayasu arteritis