Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : OD27 - OD28

Acute Myocardial Infarction with Left Ventricular Failure as an Initial Presentation of Takayasu’s Arteritis

Amrish Saxena, Tushar R Sontakke, Deepankar Mishra, Shilpa Saxena, Pankaj Banode

1. Associate Professor, Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Dist. Wardha, Maharashtra, India. 2. Resident, Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Dist. Wardha, Maharashtra, India. 3. Resident, Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Dist. Wardha, Maharashtra, India. 4. Senior Resident, Department of Dentistry, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Dist. Wardha, Maharashtra, India. 5. Associate Professor, Department of Radio-Diagnosis, Jawaharlal Nehru Medical College, Sawangi, Maharashtra, India.

Correspondence Address :
Dr. Amrish Saxena,
MLK-5, MGIMS Campus, Sevagram, Dist. Wardha, Maharashtra, India.
E-mail: dramrishsaxena@rediffmail.com

Abstract

Takayasu’s Arteritis (TA) is an uncommon chronic inflammatory and stenotic disease of medium and large-sized arteries characterized by a strong predilection for the aortic arch and its major branches. We report a rare manifestation of TA in a 16-year-old female with no previous history of heart disease who presented with heart failure. She was found to have hypertension and discrepancies of pulses in upper and lower limbs. She developed ST elevated anterior wall myocardial infarction (MI) during hospitalization. Her aortography revealed narrowing of descending thoracic, upper abdominal and infrarenal aorta with significant stenosis of both renal arteries. She was diagnosed as a case of TA on the basis of her clinical profile and arteriography. Her coronary angiography did not reveal any stenosis or occlusion or aneurysm in coronary arteries or at coronary ostia which is in contrast to patients of TA with MI reported in the literature who had focal or diffuse stenosis or aneurysm in the coronaries.

Keywords

Complications, Coronary artery disease, Heart failure, Treatment

How to cite this article :

Amrish Saxena, Tushar R Sontakke, Deepankar Mishra, Shilpa Saxena, Pankaj Banode. ACUTE MYOCARDIAL INFARCTION WITH LEFT VENTRICULAR FAILURE AS AN INITIAL PRESENTATION OF TAKAYASU’S ARTERITIS. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Jul 18 ]; 10:OD27-OD28. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=OD27-OD28&id=7817

DOI and Others

DOI: 10.7860/JCDR/2016/16930.7817


Date of Submission: Sep 22, 2015
Date of Peer Review: Dec 28, 2015
Date of Acceptance: Jan 27, 2016
Date of Publishing: May 01, 2016


Financial OR OTHER COMPETING INTERESTS: None.

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