Document Detail


Unprotected left main stent placement in a patient with Takayasu's arteritis: an unusual solution for an unusual disease.
MedLine Citation:
PMID:  16878640     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the case of a young woman with Takayasu's arteritis that initially manifested as heart failure due to left main coronary artery stenosis. The patient's occluded subclavian artery and the active inflammatory process of Takayasu's arteritis precluded coronary artery bypass grafting with the use of arterial grafts. Therefore, a drug-eluting stent was placed in the unprotected left main artery. This procedure resulted in the resolution of symptoms, with a patent stent and no new coronary lesions observed on 3-month angiography, and normal left ventricular function on 9-month echocardiography. We conclude that the use of drug-eluting stents may be an important treatment option for Takayasu's arteritis patients with life-threatening coronary artery disease for whom coronary artery bypass grafting is not an option.
Authors:
Offer Amir; Biswajit Kar; Andrew B Civitello; Nanthini Palanichamy; Ali Shakir; Reynolds M Delgado
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  33     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2006  
Date Detail:
Created Date:  2006-08-01     Completed Date:  2006-09-21     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  253-5     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angioplasty, Balloon, Coronary*
Aortography
Comorbidity
Coronary Stenosis / etiology*,  therapy*
Female
Humans
Magnetic Resonance Angiography
Stents*
Subclavian Artery / pathology
Takayasu Arteritis / complications*,  diagnosis,  therapy*
Comments/Corrections

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