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A case report of Takayasu arteritis with aortic dissection as initial presentation
JiGuang Guo1, GuoWu Zhang, Dan Tang
1Department of Nephrology Department of Vascular Surgery, YongChuan Hospital of ChongQing Medical University, ChongQing, China.
Medicine
|November 16, 2017
Summary
Takayasu arteritis is rare in men presenting with aortic dissection. Early medical therapy and surgical intervention improved patient outcomes, highlighting the importance of timely treatment for this condition.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Vascular Surgery
Background:
- Takayasu arteritis presents with diverse symptoms due to varied vessel involvement, complicating early diagnosis.
- Aortic dissection as the initial presentation of Takayasu arteritis in men is exceptionally rare.
Observation:
- A 37-year-old male presented with chest and back pain, diminished pulses, and differential blood pressure.
- Computed tomography angiography confirmed DeBakey type III b aortic dissection.
Findings:
- The patient received high-dose glucocorticoid and immunosuppressive therapy for Takayasu arteritis.
- Endovascular graft exclusion (EVGE) surgery was performed during the inactive stage to repair the aortic dissection.
Implications:
- Combined medical and surgical treatment for Takayasu arteritis with aortic dissection is effective.
- Prompt diagnosis and intervention are crucial for favorable outcomes in rare presentations of Takayasu arteritis.
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