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KMID : 0368120110410010034
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Korean Circulation Journal
2011 Volume.41 No. 1 p.34 ~ p.37
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Stenting of the Left Main Coronary Artery in a Patient With Takayasu’s Arteritis
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Lee Hyo-Keun
Namgung June
Choi Won-Ho
Choe Hyun-Min
Kwon Sung-Uk
Doh Joon-Hyung
Lee Sung-Yun
Lee Won-Ro
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Abstract
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Management of Takayasu’s arteritis of the left main coronary artery (LMCA) is difficult because of the possibility of restenosis. Clinically significant stenotic lesions must be considered anatomical correlation. Many studies have reported that the management of stenotic lesions of the LMCA with endoluminal stenting and balloon angioplasty and de-novo stenting is safe and effective for patients with Takayasu’s arteritis. We report the case of a patient with Takayasu’s arteritis of the LMCA. The patient had undergone two consecutive percutaneous coronary interventions because of recurrent restenosis of in-stent lesions, and eventually underwent coronary artery bypass graft (CABG) surgery for myocardial infarction in the same lesion. We suggested treatment with CABG because the pathophysiology of Takayasu’s arteritis is different from that of atherosclerotic stenosis.
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KEYWORD
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Takayasu arteritis, Coronary artery disease, Percutaneous transluminal coronary angioplasty
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