Acute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of Takayasu arteritis: a case report

Abstract Background Takayasu arteritis is a chronic inflammatory disease involving the aorta and its major branches. Acute myocardial infarction rarely but not so much presents in patients with Takayasu arteritis, and the preferable revascularization strategy is still under debate. Case presentation...

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Autores principales:	Shiqiang Zhou, Chao Gao, Fei Li
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Coronary artery Negative remodelling Takayasu arteritis Intravenous ultrasound Case report Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/c8a118ed5fa94f0b96b495b980f48966
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spelling	oai:doaj.org-article:c8a118ed5fa94f0b96b495b980f489662021-11-28T12:05:22ZAcute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of Takayasu arteritis: a case report10.1186/s12872-021-02376-w1471-2261https://doaj.org/article/c8a118ed5fa94f0b96b495b980f489662021-11-01T00:00:00Zhttps://doi.org/10.1186/s12872-021-02376-whttps://doaj.org/toc/1471-2261Abstract Background Takayasu arteritis is a chronic inflammatory disease involving the aorta and its major branches. Acute myocardial infarction rarely but not so much presents in patients with Takayasu arteritis, and the preferable revascularization strategy is still under debate. Case presentation A 22-year-old female with Takayasu arteritis presented with acute myocardial infarction. Coronary angiography and intravenous ultrasound (IVUS) showed that the right coronary artery (RCA) was occluded and that there was severe negative remodelling at the ostium of the left main coronary artery (LMCA). The patient was treated by primary percutaneous transluminal coronary angioplasty (PTCA) with a scoring balloon in the LMCA, without stent implantation. After 3 months of immunosuppressive medication, the patient received RCA revascularization by stenting. There was progressive external elastic membrane (EEM) enlargement of the LMCA ostium demonstrated by IVUS at 3 and 15 months post-initial PTCA. Conclusion Here, we report a case of Takayasu arteritis with involvement of the coronary artery ostium. Through PTCA and long-term immunosuppressive medication, we found that coronary negative remodelling might be reversible in patients with Takayasu arteritis.Shiqiang ZhouChao GaoFei LiBMCarticleCoronary arteryNegative remodellingTakayasu arteritisIntravenous ultrasoundCase reportDiseases of the circulatory (Cardiovascular) systemRC666-701ENBMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Coronary artery Negative remodelling Takayasu arteritis Intravenous ultrasound Case report Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Coronary artery Negative remodelling Takayasu arteritis Intravenous ultrasound Case report Diseases of the circulatory (Cardiovascular) system RC666-701 Shiqiang Zhou Chao Gao Fei Li Acute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of Takayasu arteritis: a case report
description	Abstract Background Takayasu arteritis is a chronic inflammatory disease involving the aorta and its major branches. Acute myocardial infarction rarely but not so much presents in patients with Takayasu arteritis, and the preferable revascularization strategy is still under debate. Case presentation A 22-year-old female with Takayasu arteritis presented with acute myocardial infarction. Coronary angiography and intravenous ultrasound (IVUS) showed that the right coronary artery (RCA) was occluded and that there was severe negative remodelling at the ostium of the left main coronary artery (LMCA). The patient was treated by primary percutaneous transluminal coronary angioplasty (PTCA) with a scoring balloon in the LMCA, without stent implantation. After 3 months of immunosuppressive medication, the patient received RCA revascularization by stenting. There was progressive external elastic membrane (EEM) enlargement of the LMCA ostium demonstrated by IVUS at 3 and 15 months post-initial PTCA. Conclusion Here, we report a case of Takayasu arteritis with involvement of the coronary artery ostium. Through PTCA and long-term immunosuppressive medication, we found that coronary negative remodelling might be reversible in patients with Takayasu arteritis.
format	article
author	Shiqiang Zhou Chao Gao Fei Li
author_facet	Shiqiang Zhou Chao Gao Fei Li
author_sort	Shiqiang Zhou
title	Acute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of Takayasu arteritis: a case report
title_short	Acute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of Takayasu arteritis: a case report
title_full	Acute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of Takayasu arteritis: a case report
title_fullStr	Acute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of Takayasu arteritis: a case report
title_full_unstemmed	Acute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of Takayasu arteritis: a case report
title_sort	acute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of takayasu arteritis: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/c8a118ed5fa94f0b96b495b980f48966
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Acute myocardial infarction with left main coronary artery ostial negative remodelling as the first manifestation of Takayasu arteritis: a case report

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