RT Journal Article
SR Electronic
T1 Severe aortic regurgitation complicating Takayasu’s arteritis
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 863
OP 867
DO 10.15537/smj.2017.8.12473
VO 38
IS 8
A1 Alali, Wala M.
A1 Alahmari, Saeed A.
A1 Alhebaishi, Yahya S.
A1 Alrashidi, Seham A.
YR 2017
UL http://smj.org.sa/content/38/8/863.abstract
AB We present an uncommon case of a 48-year-old female patient with symptomatic presentation of a severe aortic regurgitation with aneurysm of the ascending aorta and progressive dyspnea. Detailed investigation of laboratory tests and imaging identified Takayasu’s arteritis (TA) as the underlying etiology. Computed tomography scan revealed complete occlusion of the right carotid artery as well as stenosis at the origins of left subclavian and vertebral arteries. In addition, cardiac magnetic resonance angiogram showed aneurysm at the proximal segment of right subclavian artery. Intervention with corticosteroids effectively diminished the need for immediate surgical intervention. Treating physicians should always consider differential diagnosis of TA in the presence of atypical clinical findings in all patients with cardiac problems especially when there is valve involvement.