Aortic intimal fold in Takayasu arteritis causing obstruction of left coronary ostium
Masakazu Nakao1, Kim-Kiat Ong, Yeong-Phang Lim
1Cardiothoracic Service, Division of Surgery, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore. masakazu.nakao@singhealth.com.sg
Abstract:
An 11-year-old girl with Takayasu arteritis was presented with recurrent chest pain. A transthoracic echocardiogram showed moderate to severe aortic regurgitation with impaired cardiac function. Cardiac catheterization revealed the total occlusion of the small right coronary artery and left main stenosis of 40%. An intraoperative transesophageal echocardiogram showed a redundant intimal fold partially covering the left coronary ostium and this was further confirmed from the intraoperative finding. This is a case report of recurrent angina associated with obstruction of left main coronary artery orifice by an intimal fold secondary to Takayasu arteritis.
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