Khachatryan Aleksan, Tamazyan Vahagn, Sargsyan Margarita, Haque Reyaz U, Cinar Tufan, Alejandro Joel, Harutyunyan Hakob, Batikyan Ashot
Department of Internal Medicine, University of Maryland Medical Center, Midtown Campus, Baltimore, USA.
Department of Internal Medicine, Maimonides Medical Center, New York, USA.
Cureus. 2024 Jul 3;16(7):e63761. doi: 10.7759/cureus.63761. eCollection 2024 Jul.
Takayasu arteritis (TA) is a rare form of large vessel arteritis that predominantly affects the aorta and its major branches. This inflammation leads to thickening, fibrosis, and stenosis of the arterial walls, which may lead to thrombus formation. The resulting symptoms are typically due to ischemia of the end organs. Coronary artery involvement is uncommon and primarily affects the ostia of the arteries. Ostial involvement of the coronary arteries can have a dramatic course, including fatal outcomes. We present the case of a 16-year-old female with TA involving the ostium of the left main coronary artery, causing severe stenosis. A successful percutaneous coronary intervention was performed on the left main artery with snorkel stent placement, which was complicated by cardiac arrest seven months later due to complete thrombosis of the proximal opening of the protruding stent.
高安动脉炎（TA）是一种罕见的大血管动脉炎，主要累及主动脉及其主要分支。这种炎症会导致动脉壁增厚、纤维化和狭窄，进而可能导致血栓形成。由此产生的症状通常是由于终末器官缺血所致。冠状动脉受累并不常见，主要影响动脉开口处。冠状动脉开口处受累可能会有严重的病程，包括致命的后果。我们报告一例16岁女性高安动脉炎累及左主冠状动脉开口，导致严重狭窄。对左主冠状动脉成功进行了经皮冠状动脉介入治疗并置入了带 snorkel 支架，七个月后因突出支架近端开口完全血栓形成并发心脏骤停。
