Korean J Thorac Cardiovasc Surg.  2004 Jan;37(1):88-91.

Aortic Valve Replacement in a Patient with Aortic Arch Syndrome Secondary to Takayasu's Arteritis: One case

• Choi JB
• Yang HW
• Lee SY

Abstract

Aortic regurgitation is not a rare complication of Takayasu's disease. Aortic regurgitation may aggravate cerebral ischemic syndrome like syncope in patients with stenotic or occlusive lesions in cerebral branches of aorta secondary to acute or progressive inflammation. In a 34-yrs-old male patient who complained of syncope and exertional dyspnea with occlusion of both carotid arteries and severe stenoses of both subclavian arteries, occlusion of right coronary artery, and aortic regurgitation, his symptom was improved with perioperative aggressive steroid therapy, stent insertion in both subclavian arteries, and aortic valve replacement.

Keyword

Takayasu's arteritis; Aortic arch syndrome; Aortic valve insufficiency; Immunosuppression; Aorta, arch

MeSH Terms

Aorta
Aorta, Thoracic*
Aortic Arch Syndromes*
Aortic Valve Insufficiency
Aortic Valve*
Carotid Arteries
Constriction, Pathologic
Coronary Vessels
Dyspnea
Humans
Immunosuppression
Inflammation
Male
Stents
Subclavian Artery
Syncope
Takayasu Arteritis*