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Asymptomatic Takayasu Arteritis With Critical Multivessel Stenosis
Vanshika Tripathi1, Matthew Montanarella2, Yixin Zhang3
1Department of Internal Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA.
JACC. Case Reports
|May 22, 2024
Summary
Takayasu arteritis, a condition causing blood vessel inflammation, can present with minimal symptoms due to extensive collateral circulation. This case highlights how collateral pathways can mask severe aortic and branch artery involvement.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Vascular Biology
Background:
- Takayasu arteritis involves inflammation of the aorta and its major branches.
- Severe arterial involvement typically presents with significant clinical symptoms.
- Collateral circulation can potentially alter disease presentation.
Purpose of the Study:
- To describe a unique case of Takayasu arteritis.
- To illustrate the impact of collateral circulation on disease manifestation.
- To emphasize the importance of advanced imaging in diagnosing vascular diseases.
Main Methods:
- Case report of a patient diagnosed with Takayasu arteritis.
- Utilized computed tomography angiography (CTA) to assess arterial involvement.
- Employed magnetic resonance angiography (MRA) to visualize collateral pathways.
Main Results:
- The patient exhibited severe, multivessel Takayasu arteritis.
- Classic physical examination findings were noted.
- Extensive collateral circulation was identified via CTA and MRA.
- Despite severe involvement, the patient was virtually asymptomatic.
Conclusions:
- Extensive collateral circulation can significantly mitigate symptoms in severe Takayasu arteritis.
- Advanced imaging techniques like CTA and MRA are crucial for detecting collateralization.
- This case underscores the variability in Takayasu arteritis presentation.
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