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    
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.
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    
Department of Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Angioplasty, Balloon, Coronary*
Coronary Stenosis / etiology*,  therapy*
Magnetic Resonance Angiography
Subclavian Artery / pathology
Takayasu Arteritis / complications*,  diagnosis,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Idiopathic chylopericardium: an unusual cause of cardiac tamponade.
Next Document:  Focal myocarditis mimicking acute ST-elevation myocardial infarction: diagnosis using cardiac magnet...