Key result
Saphenous vein bypass successfully manages spontaneous left main dissection in Takayasu's arteritis.
Why the study?
Spontaneous coronary dissection is a relatively rare outcome in patients with Takayasu's arteritis despite the known risk of vascular stenosis and dissection from chronic inflammation.
Case Report (n=1)
No
May support saphenous vein grafting in rare Takayasu-associated LM dissection; extends case reports but leaves optimal strategy open.
Takayasu's arteritis is a type of vasculitis which is characterized by chronic inflammation involving the aorta and its major proximal branches. The inflammatory process in the vessel wall due to intimal thickening and fibrosis may result in catastrophic events such as vascular stenosis and spontaneous dissection. However, spontaneous coronary dissection is a relatively rare outcome. The use of transthoracic echocardiography in the evaluation of thoracic aortic involvement has been shown to be advantageous since this method is relatively cheap and non-invasive. In this article, we report a 48-year-old female case who was previously diagnosed with Takayasu's arteritis with a spontaneous left main coronary artery dissection which was detected by coronary angiography following the sudden onset of severe chest pain.
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Akpınar et al. (2013) conducted a case report in Takayasu's arteritis with spontaneous left main coronary artery dissection (n=1). Aortocoronary anastomosis using a saphenous venous graft was evaluated on Clinical outcome. A 48-year-old female with Takayasu's arteritis and spontaneous left main coronary artery dissection was successfully treated with aortocoronary anastomosis using a saphenous venous graft.
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