Document Detail

Coronary arterial narrowing in Takayasu's aortitis.
MedLine Citation:
PMID:  16478     Owner:  NLM     Status:  MEDLINE    
A patient with Takayasu's aortitis and angina pectoris due to severe narrowing of the right and left coronary arterial ostia is described. Takayasu's arteritis produces a panaortitis, with thickening of the adventitia predominating, and an inflammatory cell infiltrate involving the adventitia, outer media and vasa vasorum. Narrowing of the coronary arteries in this disease is due to extension into these arteries of the processes of proliferation of the intima and contraction of the fibrotic media and adventitia that occur in the aorta. The distal coronary arteries usually do not manifest arteritis and are normal in caliber. Angina pectoris may be the first symptom of the disease if the coronary arteries are the initial site of severe arterial narrowing. The coronary arterial bypass graft operation is effective therapy for treating coronary arterial narrowing due to Takayasu's arteritis.
P R Cipriano; J F Silverman; M G Perlroth; R B Griepp; L Wexler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  39     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1977 May 
Date Detail:
Created Date:  1977-06-11     Completed Date:  1977-06-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  744-50     Citation Subset:  AIM; IM    
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MeSH Terms
Angina Pectoris / etiology
Aorta / pathology
Aortic Arch Syndromes / complications*
Coronary Angiography
Coronary Artery Bypass
Coronary Disease / diagnosis,  etiology*,  radiography
Exercise Test
Takayasu Arteritis / complications*,  pathology,  radiography

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