一位 39 岁男性因胸痛、眩晕和失明就诊，表现为独特的 Takayasu 动脉炎。

A unique presentation of Takayasu's arteritis in a 39-year-old male with chest pain, vertigo, and blindness.

机构信息

Department of Surgery, University of Toledo Medical Center, Toledo, OH, USA.

出版信息

J Vasc Surg. 2011 Aug;54(2):529-32. doi: 10.1016/j.jvs.2010.12.059. Epub 2011 Mar 11.

DOI:10.1016/j.jvs.2010.12.059

Abstract

Takayasu's arteritis is a rare form of aortic vasculitis, typically described in young Asian females. In this article, we report a unique presentation of type V Takayasu's arteritis in a Hispanic male. To the best of our knowledge, this is the first case of Takayasu's arteritis presenting with the triad of angina, amaurosis fugax, and subclavian steal syndrome. On diagnostic imaging, he was found to have left subclavian and axillary artery stenosis requiring balloon angioplasty. The patient responded to the combination of medical and surgical treatment with full recovery.

摘要

Takayasu 动脉炎是一种罕见的主动脉血管炎，通常在年轻的亚裔女性中描述。在本文中，我们报告了一例独特的 5 型 Takayasu 动脉炎病例，发生于一名西班牙裔男性。据我们所知，这是首例以心绞痛、一过性黑矇和锁骨下盗血综合征三联征表现的 Takayasu 动脉炎。在诊断性影像学检查中，发现他的左锁骨下动脉和腋动脉狭窄，需要进行球囊血管成形术。该患者对药物和手术治疗的联合反应良好，完全康复。