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KMID : 0191120080230030551
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Journal of Korean Medical Science
2008 Volume.23 No. 3 p.551 ~ p.555
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Takayasu’s Arteritis Treated by Percutaneous Transluminal Angioplasty with Stenting in the Descending Aorta
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Shim Byung-Ju
Youn Ho-Joong
Kim Yong-Chul
Kim Woo-Tae
Choi Yun-Seok
Lee Dong-Hyeon
Park Chul-Soo
Oh Yong-Seog
Chung Wook-Sung
Kim Jae-Hyung
Choi Kyu-Bo
Hong Soon-Jo
Jung Seung-Eun
Hahn Seong-Tai
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Abstract
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A 17-yr-old young woman was referred to our hospital with a 2-yr history of claudication of the lower extremities and severe arterial hypertension. Physical examination revealed significantly different blood pressures between both arms (160/92 and 180/95 mmHg) and legs (92/61 and 82/57 mmHg). The hematological and biochemical values were within their normal ranges, except for the increased erythrocyte sedimentation rate (83 mm/hr) and C-reactive protein (6.19 mg/L). On 3- dimensional computed tomographic angiography, the ascending aorta, the aortic arch and its branches, and the thoracic and, descending aorta, but not the renal artery, were shown to be stenotic. The diagnosis of type IIb Takayasu’s arteritis was made according to the new angiographic classification of Takayasu’s arteritis, Takyasu conference 1994. Percutaneous transluminal angioplasty with stenting was performed on the thoracic and abdominal aorta. After the interventional procedures, the upper extremity blood pressure improved from 162/101 mmHg to 132/85 mmHg, respectively. She has been free of claudication and there have been no cardiac events during 2-yr of clinical follow-up.
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KEYWORD
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Arteritis, Stenosis, Angioplasty
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