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Coronary artery and mitral valve surgery in Takayasu's arteritis: a case report

Deniz Goksedef1, Suat Nail Omeroglu, Gokhan Ipek

  • 1Deparment of Cardiovascular Surgery, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey. denizgoksedef@yahoo.com

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|September 2, 2011
PubMed

Insights

Takayasu's Arteritis patients rarely present with both coronary artery and mitral valve disease. This case highlights the perioperative management of a patient with these rare concomitant conditions undergoing complex cardiac surgery.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Rheumatology

Background:

  • Takayasu's Arteritis is a rare large vessel vasculitis.
  • Concomitant coronary artery disease and mitral valve disease are uncommon in Takayasu's Arteritis.
  • The patient had a history of Takayasu's Arteritis diagnosed 9 years prior and an inferior myocardial infarction 8 months before admission.

Observation:

  • The patient presented with chest pain and was diagnosed with three-vessel coronary artery disease.
  • Significant mitral regurgitation was noted, attributed to anterior leaflet prolapse.
  • The patient had undergone double stent implantation 8 months prior for myocardial infarction.

Findings:

  • This report details the perioperative management of a patient with Takayasu's Arteritis, coronary artery disease, and mitral valve disease.
  • The patient underwent successful coronary artery bypass grafting and mitral valve replacement.
  • The management focused on addressing the complex interplay of these conditions.

Implications:

  • This case underscores the importance of comprehensive cardiac evaluation in Takayasu's Arteritis patients.
  • Effective perioperative strategies are crucial for managing patients with rare concomitant cardiovascular conditions.
  • Further research into the cardiovascular manifestations of Takayasu's Arteritis may improve patient outcomes.

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