Abstract
Coronary artery stenosis is seen in 10–45% of patients with Takayasu’s arteritis (TA) and coronary ostia are most frequently involved. It may cause angina pectoris and sudden death during the early course of the disease. We describe a 14-year-old girl who first presented with exertional angina and syncope and was diagnosed as having left coronary artery ostial stenosis from TA by using transthoracic echocardiography. This is the first report showing the important role of color flow and pulsed Doppler echocardiography to detect coronary artery stenosis caused by TA.
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Nagata S. Present state of autopsy case of Takayasu’s arteritis (aortitis syndrome) in Japan. Angiology. 1990;30:1303–8. (in Japanese).
Amano J, Suzuki A. Coronary artery involvement in Takayasu’s arteritis. Collective review and guideline for surgical treatment. J Thorac Cardiovasc Surg. 1991;102:554–60.
Seguchi M, Hino Y, Aiba S, Yasukouchi S, Momma K, Takao A, et al. Ostial stenosis of the left coronary artery as a sole clinical manifestation of Takayasu’s arteritis: a possible cause of unexpected sudden death. Heart Vessel. 1990;5:188–91.
Jureidini SB, Marino CJ, Singh GK, Fiore A, Balfour IC. Main coronary artery and coronary ostial stenosis in children: detection by transthoracic color flow and pulsed Doppler echocardiography. J Am Soc Echocardiogr. 2000;13:255–63.
Fusejima K. Noninvasive measurement of coronary artery blood flow using combined two-dimensional and Doppler echocardiography. J Am Coll Cardiol. 1987;10:1024–31.
Hozumi T, Yoshida K, Akasaka T, Asami Y, Kanzaki Y, Ueda Y, et al. Value of acceleration flow and prestenotic to stenotic coronary flow velocity ratio by transthoracic color Doppler echocardiography in noninvasive diagnosis of restenosis after percutaneous transluminal coronary angioplasty. J Am Coll Cardiol. 2000;35:164–8.
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Konishi, Y., Oyama, K., Nasu, M. et al. Left coronary artery ostial stenosis from Takayasu’s arteritis diagnosed using transthoracic color flow and pulsed Doppler echocardiography. J Echocardiogr 9, 142–144 (2011). https://doi.org/10.1007/s12574-011-0088-7
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DOI: https://doi.org/10.1007/s12574-011-0088-7