Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Stenting of the Left Main Coronary Artery in a Patient With Takayasu's Arteritis

  • Lee, Hyo-Keun (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Inje University, Ilsan Paik Hospital) ;
  • NamGung, June (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Inje University, Ilsan Paik Hospital) ;
  • Choi, Won-Ho (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Inje University, Ilsan Paik Hospital) ;
  • Choe, Hyun-Min (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Inje University, Ilsan Paik Hospital) ;
  • Kwon, Sung-Uk (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Inje University, Ilsan Paik Hospital) ;
  • Doh, Joon-Hyung (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Inje University, Ilsan Paik Hospital) ;
  • Lee, Sung-Yun (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Inje University, Ilsan Paik Hospital) ;
  • Lee, Won-Ro (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Inje University, Ilsan Paik Hospital)
  • Published : 2011.01.30
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Abstract

Management of Takayasu's arteritis of the left main coronary artery (LMCA) is difficult because of the possibility of restenosis. Clinically significant stenotic lesions must be considered anatomical correlation. Many studies have reported that the management of stenotic lesions of the LMCA with endoluminal stenting and balloon angioplasty and de-novo stenting is safe and effective for patients with Takayasu's arteritis. We report the case of a patient with Takayasu's arteritis of the LMCA. The patient had undergone two consecutive percutaneous coronary interventions because of recurrent restenosis of in-stent lesions, and eventually underwent coronary artery bypass graft (CABG) surgery for myocardial infarction in the same lesion. We suggested treatment with CABG because the pathophysiology of Takayasu's arteritis is different from that of atherosclerotic stenosis.

Keywords

References

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Cited by

  1. Coronary artery involvements in Takayasu arteritis: systematic review of reports vol.68, pp.9, 2011, https://doi.org/10.1007/s11748-020-01378-3