Khajali Zahra, Seilani Parisa, Pouraliakbar Hamidreza, Parsaee Mozhgan, Akbari Parsa Niloufar
Rajaee Cardiovascular Medical and Research Center, Tehran, Iran.
J Cardiol Cases. 2021 May 21;24(5):237-239. doi: 10.1016/j.jccase.2021.04.010. eCollection 2021 Nov.
A 23-year-old woman with history of tetralogy of Fallot presented with new hypertension and constitutional symptoms first diagnosed as coartation of aorta based on primary imaging but that turned out to be Takayasu arteritis after more evaluation by laboratory data and complementary imaging modalities . < Inflammatory vasculitis involving large vessels such as Takayasu arteritis might mimic congenital structural heart diseases like aortic coarctation in rare cases due to post inflammatory strictures in thoracic aorta and aortic arch main branches. This report demonstrates the importance of history taking, physical examination, and using different imaging modalities for the most accurate diagnosis.>.
一名患有法洛四联症病史的23岁女性出现了新的高血压和全身症状，最初根据初步影像学检查诊断为主动脉缩窄，但经过实验室数据和补充影像学检查进一步评估后，结果发现是大动脉炎。<像大动脉炎这样累及大血管的炎症性血管炎在罕见情况下可能会因胸主动脉和主动脉弓主要分支的炎症后狭窄而类似先天性结构性心脏病，如主动脉缩窄。本报告证明了病史采集、体格检查以及使用不同影像学检查手段以实现最准确诊断的重要性。>
