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大动脉炎中左锁骨下动脉梗阻的自发缓解

Spontaneous Resolution of the Left Subclavian Artery Obstruction in Takayasu's Arteritis.

作者信息

Baek Wan Ki, Lee Mina, Kim Young Sam, Yoon Yong Han, Kim Joung Taek, Kim Dae Hyeock

机构信息

Department of Thoracic and Cardiovascular Surgery, Inha University, Incheon, Korea.

Division of Cardiology, Internal Medicine, College of Medicine, Inha University, Incheon, Korea.

出版信息

Korean Circ J. 2016 Sep;46(5):730-733. doi: 10.4070/kcj.2016.46.5.730. Epub 2016 Aug 16.

DOI:10.4070/kcj.2016.46.5.730
PMID:27721867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5054188/
Abstract

Spontaneous resolution of the arterial obstruction in Takayasu's arteritis is rarely reported. We reported a case of spontaneous resolution of an obstruction of the left subclavian artery in a young female. The patient underwent a bilateral coronary patch ostioplasty for both coronary ostial lesions complicated by Takayasu's arteritis at the age of 28. Concomitant left subclavian obstruction was seen at that time but left untreated. Surprisingly, the 10-year follow-up angiogram revealed complete resolution of the left subclavian artery obstruction. Meanwhile, no specific medical treatment was administered.

摘要

大动脉炎中动脉阻塞的自发缓解鲜有报道。我们报告了一例年轻女性左锁骨下动脉阻塞自发缓解的病例。该患者28岁时因并发大动脉炎的双侧冠状动脉开口病变接受了双侧冠状动脉补片成形术。当时发现伴有左锁骨下动脉阻塞，但未予治疗。令人惊讶的是，10年随访血管造影显示左锁骨下动脉阻塞完全缓解。同时，未给予任何特殊治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5728/5054188/ca0da462e2d5/kcj-46-730-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5728/5054188/12e80a60e5c0/kcj-46-730-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5728/5054188/ca0da462e2d5/kcj-46-730-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5728/5054188/12e80a60e5c0/kcj-46-730-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5728/5054188/ca0da462e2d5/kcj-46-730-g002.jpg

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本文引用的文献

1
Clinical diagnosis and management of large vessel vasculitis: Takayasu arteritis.大血管血管炎的临床诊断与管理：高安动脉炎。
Curr Cardiol Rep. 2014 Jul;16(7):499. doi: 10.1007/s11886-014-0499-y.
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Spontaneous recanalization of renal artery stenosis in childhood Takayasu arteritis: A case report.
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