一名12岁女孩左冠状动脉严重开口狭窄作为高安动脉炎的首发表现。

Severe ostial stenosis of the left coronary artery in a 12-year-old girl as the first manifestation of Takayasu's arteritis.

作者信息

Moortgat Stephanie, Tuerlinckx David, Bodart Eddy, El Khoury Gebrine, Moniotte Stephane

机构信息

Department of Paediatrics, Cliniques universitaires de Mont-Godinne, Yvoir, Belgium.

出版信息

Acta Cardiol. 2009 Dec;64(6):825-9. doi: 10.2143/AC.64.6.2044753.

DOI:10.2143/AC.64.6.2044753

PMID:20128165

Abstract

We report the case of a 12-year-old girl who presented with isolated chest pain on minimal exertion over the last 2 months. A coronary angiography revealed severe narrowing of the left coronary artery ostium and increased thickness of the ascending aortic wall was demonstrated by transoesophageal echocardiography, suggesting the diagnosis ofTakayasu's arteritis. The patient was successfully treated with corticosteroids and coronary artery bypass graft surgery.

摘要

我们报告了一名12岁女孩的病例，该女孩在过去2个月中，轻微活动时即出现孤立性胸痛。冠状动脉造影显示左冠状动脉口严重狭窄，经食管超声心动图显示升主动脉壁厚度增加，提示诊断为高安动脉炎。该患者通过皮质类固醇和冠状动脉搭桥手术成功治愈。