Atypical initial presentation of Takayasu arteritis as isolated supra-valvular aortic stenosis

Journal of Cardiothoracic Surgery
Do Yeon Kim, Hwan Wook Kim

Abstract

Among the vascular involvements of Takayasu arteritis, a supra-valvular aortic stenosis has been reported very rarely. We report a case of surgically corrected, supra-valvular aortic stenosis caused by Takayasu arteritis. A 32-year-old female was diagnosed with supra-valvular aortic stenosis by transthoracic echocardiography for the evaluation of cardiac murmur with constitutional symptoms. Under the impression of non-familial sporadic type of supra-valvular aortic stenosis, surgical correction was performed. However, after 1 year from the operation, we could know the cause of her disease through the findings of computed tomographic aortography that Takayasu arteritis was suspected. Takayasu arteritis should be considered in adult female patients presenting supra-valvular aortic stenosis with constitutional symptoms, even if no typical features of vascular involvement.

References

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Aug 1, 1997·International Journal of Cardiology·A HataF Numano
Oct 21, 2000·Lancet·F NumanoY Kobayashi
Jul 16, 2013·Mayo Clinic Proceedings·Jean SchmidtKenneth J Warrington

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Citations

Apr 18, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Wenqian WuMingxing Xie

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