Acute Myocardial Infarction with Left Ventricular Failure as an Initial Presentation of Takayasu’s Arteritis
Correspondence Address :
Dr. Amrish Saxena,
MLK-5, MGIMS Campus, Sevagram, Dist. Wardha, Maharashtra, India.
E-mail: dramrishsaxena@rediffmail.com
Takayasu’s Arteritis (TA) is an uncommon chronic inflammatory and stenotic disease of medium and large-sized arteries characterized by a strong predilection for the aortic arch and its major branches. We report a rare manifestation of TA in a 16-year-old female with no previous history of heart disease who presented with heart failure. She was found to have hypertension and discrepancies of pulses in upper and lower limbs. She developed ST elevated anterior wall myocardial infarction (MI) during hospitalization. Her aortography revealed narrowing of descending thoracic, upper abdominal and infrarenal aorta with significant stenosis of both renal arteries. She was diagnosed as a case of TA on the basis of her clinical profile and arteriography. Her coronary angiography did not reveal any stenosis or occlusion or aneurysm in coronary arteries or at coronary ostia which is in contrast to patients of TA with MI reported in the literature who had focal or diffuse stenosis or aneurysm in the coronaries.
Complications, Coronary artery disease, Heart failure, Treatment
DOI: 10.7860/JCDR/2016/16930.7817
Date of Submission: Sep 22, 2015
Date of Peer Review: Dec 28, 2015
Date of Acceptance: Jan 27, 2016
Date of Publishing: May 01, 2016
Financial OR OTHER COMPETING INTERESTS: None.
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