Macedo Leonardo Miranda, Lima Neiberg de Alcantara, de Castro Junior Ricardo Lessa, Bannon Susan Faragher
Internal Medicine, Universidade Federal do Ceara, Fortaleza, CE, Brazil.
Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.
BMJ Case Rep. 2019 Apr 30;12(4):e229383. doi: 10.1136/bcr-2019-229383.
Coronary artery disease (CAD) due to Takayasu arteritis (TA) is rare. This article reports a case of severe involvement of multiple coronary arteries in a young woman. She was treated with coronary artery bypass grafting and had an early venous graft stenosis despite immunosuppressants. She became asymptomatic one year after a drug-eluting stent placement. This report shows the complexity of the diagnostic and therapeutic approach to TA with complex CAD.
大动脉炎（TA）所致冠状动脉疾病（CAD）较为罕见。本文报道了一名年轻女性多条冠状动脉严重受累的病例。她接受了冠状动脉搭桥手术，尽管使用了免疫抑制剂，但早期静脉移植血管仍出现狭窄。在植入药物洗脱支架一年后，她症状消失。本报告显示了TA合并复杂CAD的诊断和治疗方法的复杂性。
