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Takayasu’s Arteritis Associated with Cerebrovascular Ischemia

  • Duk-Kyung Kim
  • Young-Wook Kim
Chapter

Case Report

A 12-year old Korean girl was presented with neck pain and transiently dimmed vision. One year before presenting, the patient developed fever, malaise and bilateral neck pain followed by right leg claudication. More recently, she experienced dimming of the visual field in both eyes, aggravated when facing upwards. She did not have episodes of imbalance, loss of coordination, diplopia or vertigo. She did not complain of dyspnoea, angina or abdominal angina. Her right arm blood pressure (BP) was 99/54 mmHg but the left arm BP was not checkable. A cardiac examination was normal. Both carotid pulses and the right brachial pulse were weak. The left brachial pulse, right popliteal and right dorsalis pedis pulses were not palpable. Bruit was audible over both carotid arteries and in the supraclavicular, infraclavicular and epigastric area. Neurology disclosed no abnormalities. Basal laboratory examinations revealed a white blood count of 9700 × 103/μL, erythrocyte sedimentation...

References

  1. 1.
    Arend WP, Michel BA, Bloch DA, et al. The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis Rheum. 1990;33:1129–34.CrossRefPubMedGoogle Scholar
  2. 2.
    Liang P, Hoffman GS. Advances in the medical and surgical treatment of Takayasu arteritis. Curr Opin Rheumatol. 2005;17:16–24.CrossRefPubMedGoogle Scholar
  3. 3.
    Matsuura K, Ogino H, Kobayashi J, et al. Surgical treatment of aortic regurgitation due to Takayasu arteritis: long-term morbidity and mortality. Circulation. 2005;112:3707–12.CrossRefPubMedGoogle Scholar
  4. 4.
    Park JH, Chung JW, Im JG, Kim SK, Park YB, Han MC. Takayasu arteritis: evaluation of mural changes in the aorta and pulmonary artery with CT angiography. Radiology. 1995;196:89–93.CrossRefPubMedGoogle Scholar
  5. 5.
    Choe YH, Kim DK, Koh EM, Do YS, Lee WR. Takayasu arteritis: diagnosis with MR imaging and MR angiography in acute and chronic active stages. J Magn Reson Imaging. 1999;10:751–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Kissin EY, Merkel PA. Diagnostic imaging in Takayasu arteritis. Curr Opin Rheumatol. 2004;16:31–7.CrossRefPubMedGoogle Scholar
  7. 7.
    Andrews J, Mason JC. Takayasu’s arteritis – recent advances in imaging offer promise. Rheumatology (Oxford). 2007;46:6–15.CrossRefPubMedGoogle Scholar
  8. 8.
    Maksimowicz-McKinnon K, Hoffman GS. Takayasu arteritis: what is the long-term prognosis? Rheum Dis Clin North Am. 2007;33:777–786. vi.CrossRefPubMedGoogle Scholar
  9. 9.
    Fields CE, Bower TC, Cooper LT, et al. Takayasu’s arteritis: operative results and influence of disease activity. J Vasc Surg. 2006;43:64–71.CrossRefPubMedGoogle Scholar
  10. 10.
    Park MC, Lee SW, Park YB, Lee SK, Choi D, Shim WH. Post-interventional immunosuppressive treatment and vascular restenosis in Takayasu’s arteritis. Rheumatology (Oxford). 2006;45:600–5.CrossRefPubMedGoogle Scholar
  11. 11.
    Kerr GS, Hallahan CW, Giordano J, et al. Takayasu arteritis. Ann Intern Med. 1994;120:919–29.CrossRefPubMedGoogle Scholar
  12. 12.
    Park JH, Chung JW, Lee KW, Park YB, Han MC. CT angiography of Takayasu arteritis: comparison with conventional angiography. J Vasc Interv Radiol. 1997;8:393–400.CrossRefPubMedGoogle Scholar
  13. 13.
    Choe YH, Han BK, Koh EM, Kim DK, Do YS, Lee WR. Takayasu’s arteritis: assessment of disease activity with contrast-enhanced MR imaging. AJR Am J Roentgenol. 2000;175:505–11.CrossRefPubMedGoogle Scholar
  14. 14.
    Tso E, Flamm SD, White RD, Schvartzman PR, Mascha E, Hoffman GS. Takayasu arteritis: utility and limitations of magnetic resonance imaging in diagnosis and treatment. Arthritis Rheum. 2002;46:1634–42.CrossRefPubMedGoogle Scholar
  15. 15.
    Andrews J, Al-Nahhas A, Pennell DJ, et al. Non-invasive imaging in the diagnosis and management of Takayasu’s arteritis. Ann Rheum Dis. 2004;63:995–1000.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Kobayashi Y, Ishii K, Oda K, et al. Aortic wall inflammation due to Takayasu arteritis imaged with 18F-FDG PET coregistered with enhanced CT. J Nucl Med. 2005;46:917–22.PubMedGoogle Scholar
  17. 17.
    Shiiya N, Matsuzaki K, Watanabe T, Kuroda S, Yasuda K. Descending aorta to carotid bypass for takayasu arteritis as a redo operation. Ann Thorac Surg. 2003;76:283–5.CrossRefPubMedGoogle Scholar
  18. 18.
    Tada Y, Sato O, Ohshima A, Miyata T, Shindo S. Surgical treatment of Takayasu arteritis. Heart Vessel. 1992;7:159–67.CrossRefGoogle Scholar
  19. 19.
    Tada Y, Kamiya K, Shindo S, et al. Carotid artery reconstruction for Takayasu’s arteritis the necessity of all-autogenous-vein graft policy and development of a new operation. Int Angiol. 2000;19:242–9.PubMedGoogle Scholar
  20. 20.
    Tann OR, Tulloh RM, Hamilton MC. Takayasu’s disease: a review. Cardiol Young. 2008;18:250–9.CrossRefPubMedGoogle Scholar
  21. 21.
    Rockman CB, Riles TS, Landis R, et al. Redo carotid surgery: an analysis of materials and configurations used in carotid reoperations and their influence on perioperative stroke and subsequent recurrent stenosis. J Vasc Surg. 1999;29:72–80. discussion 80–81CrossRefPubMedGoogle Scholar
  22. 22.
    Moulakakis KG, Mylonas SN, Sfyroeras GS, Andrikopoulos V. Hyperperfusion syndrome after carotid revascularization. J Vasc Surg. 2009;49:1060–8.CrossRefPubMedGoogle Scholar
  23. 23.
    Miyata T, Sato O, Deguchi J, et al. Anastomotic aneurysms after surgical treatment of Takayasu’s arteritis: a 40-year experience. J Vasc Surg. 1998;27:438–45.CrossRefPubMedGoogle Scholar
  24. 24.
    Erdogan A, Gilgil E, Oz N, Türk T, Demircan A. PTFE patching to prevent anastomotic aneurysm formation in Takayasu’s arteritis. Eur J Vasc Endovasc Surg. 2003;25:478–80.CrossRefPubMedGoogle Scholar
  25. 25.
    Ishikawa K. Diagnostic approach and proposed criteria for the clinical diagnosis of Takayasu’s arteriopathy. J Am Coll Cardiol. 1988;12:964–72.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Cardiology, Department of Medicine, Samsung Medical CenterSungkyunkwan University School of MedicineSeoulKorea
  2. 2.Division of Vascular Surgery, Department of Surgery, Samsung Medical CenterSungkyunkwan University School of MedicineSeoulKorea

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