A Case Report: An Elderly Male Patient With Takayasu Arteritis After Coronary Artery Bypass Grafting

Background: Takayasu arteritis is a rare chronic granulomatous inflammation involving the aorta and its main branches. In this report, we describe an extremely rare elderly male patient with Takayasu arteritis (TA) after coronary artery bypass grafting (CABG).Case Summary: A 61-year-old male patient...

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Autores principales:	Huaitao Yu, Wenzhao Liu, Yuan Zhang, Xuefang Yan, Na Li, Yun Ti, Peili Bu
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	case report Takayasu's arteritis coronary artery bypass grafting Takayasu's arteritis with coronary artery involvement acute myocardial infarction Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/c4ec420f45a945eeb910d74eb8daf55b
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spelling	oai:doaj.org-article:c4ec420f45a945eeb910d74eb8daf55b2021-11-30T12:02:45ZA Case Report: An Elderly Male Patient With Takayasu Arteritis After Coronary Artery Bypass Grafting2297-055X10.3389/fcvm.2021.766574https://doaj.org/article/c4ec420f45a945eeb910d74eb8daf55b2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.766574/fullhttps://doaj.org/toc/2297-055XBackground: Takayasu arteritis is a rare chronic granulomatous inflammation involving the aorta and its main branches. In this report, we describe an extremely rare elderly male patient with Takayasu arteritis (TA) after coronary artery bypass grafting (CABG).Case Summary: A 61-year-old male patient with persistent precordial pain underwent angiography. Vascular murmurs could be heard in carotid artery and bilateral renal artery by auscultation. Laboratory parameters showed high Erythrocyte Sedimentation Rate (ESR) and C-reactive protein (CRP). CT coronary angiography showed multiple stenoses of aorta and its main branches, such as carotid and renal artery involvement. Coronary angiography showed that the coronary artery had multiple branch stenoses, the left anterior descending artery (LAD) had severe stenosis, the distal end of which was reversed to the right coronary artery (RCA), and the RCA was completely occluded. Because of the high level of markers of inflammatory activity, the patient began to take glucocorticoid. Although the patient still had multibranch stenosis of coronary artery, considering the previous CABG operation history, surgery, and interventional therapy of the patient were not feasible, the patient was given conservative drug for further treatment. After treatment, the inflammatory index was significantly descended, and N terminal-pro Brain natriuretic peptide (NT-pro BNP) was decreased.Discussion: A rare case of an elderly male patient with Takayasu arteritis after coronary artery bypass grafting was reported. In addition to hypertension, hyperlipidemia, and other risk factors, coronary artery involvement caused by TA may be a major cause of aggravation of symptoms in patients with acute myocardial infarction (AMI), especially after CABG.Huaitao YuWenzhao LiuYuan ZhangXuefang YanNa LiYun TiPeili BuFrontiers Media S.A.articlecase reportTakayasu's arteritiscoronary artery bypass graftingTakayasu's arteritis with coronary artery involvementacute myocardial infarctionDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	case report Takayasu's arteritis coronary artery bypass grafting Takayasu's arteritis with coronary artery involvement acute myocardial infarction Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	case report Takayasu's arteritis coronary artery bypass grafting Takayasu's arteritis with coronary artery involvement acute myocardial infarction Diseases of the circulatory (Cardiovascular) system RC666-701 Huaitao Yu Wenzhao Liu Yuan Zhang Xuefang Yan Na Li Yun Ti Peili Bu A Case Report: An Elderly Male Patient With Takayasu Arteritis After Coronary Artery Bypass Grafting
description	Background: Takayasu arteritis is a rare chronic granulomatous inflammation involving the aorta and its main branches. In this report, we describe an extremely rare elderly male patient with Takayasu arteritis (TA) after coronary artery bypass grafting (CABG).Case Summary: A 61-year-old male patient with persistent precordial pain underwent angiography. Vascular murmurs could be heard in carotid artery and bilateral renal artery by auscultation. Laboratory parameters showed high Erythrocyte Sedimentation Rate (ESR) and C-reactive protein (CRP). CT coronary angiography showed multiple stenoses of aorta and its main branches, such as carotid and renal artery involvement. Coronary angiography showed that the coronary artery had multiple branch stenoses, the left anterior descending artery (LAD) had severe stenosis, the distal end of which was reversed to the right coronary artery (RCA), and the RCA was completely occluded. Because of the high level of markers of inflammatory activity, the patient began to take glucocorticoid. Although the patient still had multibranch stenosis of coronary artery, considering the previous CABG operation history, surgery, and interventional therapy of the patient were not feasible, the patient was given conservative drug for further treatment. After treatment, the inflammatory index was significantly descended, and N terminal-pro Brain natriuretic peptide (NT-pro BNP) was decreased.Discussion: A rare case of an elderly male patient with Takayasu arteritis after coronary artery bypass grafting was reported. In addition to hypertension, hyperlipidemia, and other risk factors, coronary artery involvement caused by TA may be a major cause of aggravation of symptoms in patients with acute myocardial infarction (AMI), especially after CABG.
format	article
author	Huaitao Yu Wenzhao Liu Yuan Zhang Xuefang Yan Na Li Yun Ti Peili Bu
author_facet	Huaitao Yu Wenzhao Liu Yuan Zhang Xuefang Yan Na Li Yun Ti Peili Bu
author_sort	Huaitao Yu
title	A Case Report: An Elderly Male Patient With Takayasu Arteritis After Coronary Artery Bypass Grafting
title_short	A Case Report: An Elderly Male Patient With Takayasu Arteritis After Coronary Artery Bypass Grafting
title_full	A Case Report: An Elderly Male Patient With Takayasu Arteritis After Coronary Artery Bypass Grafting
title_fullStr	A Case Report: An Elderly Male Patient With Takayasu Arteritis After Coronary Artery Bypass Grafting
title_full_unstemmed	A Case Report: An Elderly Male Patient With Takayasu Arteritis After Coronary Artery Bypass Grafting
title_sort	case report: an elderly male patient with takayasu arteritis after coronary artery bypass grafting
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/c4ec420f45a945eeb910d74eb8daf55b
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A Case Report: An Elderly Male Patient With Takayasu Arteritis After Coronary Artery Bypass Grafting

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