Jin Seon-Ah, Lee Jae-Hwan, Park Jae-Hyeong, Oh Jin Kyung, Kim Min Soo, Park Yong Kyu, Kim Jin Hyun, Kang Seong Wook, Kim Song Soo
Cardiology Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.
Cardiology Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.
Heart Lung Circ. 2015 Feb;24(2):e26-30. doi: 10.1016/j.hlc.2014.09.007. Epub 2014 Oct 12.
Takayasu's arteritis is a chronic inflammatory disorder that mainly involves medium to large sized arteries. Although it affects coronary and pulmonary arteries occasionally, physicians should consider the possibility of involvement of coronary or pulmonary arteries in patients with Takayasu's arteritis with chest pain or exertional dyspnoea. We report a case of Takayasu's arteritis who presented with exertional dyspnoea and generalised oedema due to severe bilateral pulmonary and left main coronary arterial stenoses. The patient was successfully treated by a one-stage percutaneous transluminal balloon angioplasty and stent implantation of the involved left main coronary and pulmonary arteries. The endovascular treatment may be one of the treatment options for the stenotic vascular lesions in patients with Takayasu's arteritis.
高安动脉炎是一种主要累及中大型动脉的慢性炎症性疾病。尽管它偶尔会影响冠状动脉和肺动脉，但对于出现胸痛或劳力性呼吸困难的高安动脉炎患者，医生应考虑冠状动脉或肺动脉受累的可能性。我们报告一例高安动脉炎患者，因严重的双侧肺动脉和左主干冠状动脉狭窄出现劳力性呼吸困难和全身性水肿。该患者通过一期经皮腔内球囊血管成形术以及对受累的左主干冠状动脉和肺动脉进行支架植入而获得成功治疗。血管内治疗可能是高安动脉炎患者狭窄性血管病变的治疗选择之一。
