AI Summary & Key Takeaways
AI InsightIn this article, we report a 48-year-old female case who was previously diagnosed with Takayasu's arteritis with a spontaneous left main coronary artery dissection which was detected by coronary angiography following the sudden onset of severe chest pain.
📌 3 Key Takeaways
Abstract
Takayasu's arteritis is a type of vasculitis which is characterized by chronic inflammation involving the aorta and its major proximal branches. The inflammatory process in the vessel wall due to intimal thickening and fibrosis may result in catastrophic events such as vascular stenosis and spontaneous dissection. However, spontaneous coronary dissection is a relatively rare outcome. The use of transthoracic echocardiography in the evaluation of thoracic aortic involvement has been shown to be advantageous since this method is relatively cheap and non-invasive. In this article, we report a 48-year-old female case who was previously diagnosed with Takayasu's arteritis with a spontaneous left main coronary artery dissection which was detected by coronary angiography following the sudden onset of severe chest pain.
Özet
Takayasu arteriti aort ve ana dalların proksimalini tutan, kronik inflamasyon ile karakterize bir vaskülit tipidir. İntimal kalınlaşma ve fibrozise bağlı olarak, damar duvarındaki inflamatuvar süreç, vasküler darlık ve spontan diseksiyon gibi katastrofik durumlara yol açabilir. Ancak, spontan koroner diseksiyon daha nadir rastlanan bir sonuçtur. Torasik aort tutulumunun değerlendirilmesinde transtorasik ekokardiyografi kullanımının, ucuz ve noninvaziv bir yöntem olması nedeniyle avantajlı olduğu gösterilmiştir. Bu yazıda daha önce Takayasu arteriti tanısı konmuş ve ani başlayan şiddetli göğüs ağrısı nedeniyle yapılan koroner anjiyografisinde spontan sol ana koroner arter diseksiyonu saptanan 48 yaşında bir kadın olgu sunuldu