Angiographic findings of Takayasu arteritis: New classification

Hata, Akinori; Noda, Makoto; Moriwaki, Ryutaro; Numano, Fujío

doi:10.1016/s0167-5273(96)02813-6

Cited by 531 publications

(338 citation statements)

References 25 publications

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“…The present case is a typical one, and it can be classified as type Ilb+P according to Numano' s new classification (27) since the lesions affect the aortic arch branches, descending thoracic aorta and left pulmonary artery. The presence of severe secondary systemic hypertension due to atypical coarctation of the aorta and refractory to medical treatment is a clear indication for a surgical approach (5, 6).…”

Section: Discussionmentioning

confidence: 89%

Long-Term Patency of an Aorta-Aortic Graft Bypass in a Patient with Takayasu Arteritis.

et al. 1998

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A 39-year-old womanwas diagnosed by means of angiography as Takayasu Arteritis complicated with severe systemic hypertension due to atypical coarctation of the aorta. Aortaaortic bypass graft surgery was carried out successfully and hypertension remarkably improved. Anevaluation of the graft 23 years later confirmed an almost perfect condition with a very satisfactory clinical status. Extensive long-term follow-up studies have been conducted among youngpeople after surgical repair of aortic coarctation showingencouraging results, however the situation seems to be different for the atypical coarctation in Takayasu patients, since not only the age at the time of intervention affects the outcome, but the different circumstances mainly related to the natural history of the disease. Weevaluated the long-term outcome based on similar cases with particular consideration to the extremely rare coexistence of familiar hypercholesterolemia. (Internal Medicine 37: 934-939, 1998)

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Section: Discussionmentioning

confidence: 89%

Long-Term Patency of an Aorta-Aortic Graft Bypass in a Patient with Takayasu Arteritis.

et al. 1998

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“…В описанном наблюдении у больной отсут-ствовали классические клинические проявления АТ (разница систолического АД на 2 руках, ослабление/ исчезновение пульса на лучевой артерии, характерные симптомы для I типа васкулита), что было связано, вероятно, с IV типом васкулита. На протяжении болез-ни ведущим клиническим симптомом оставалась лишь АГ, которая носила кризовый характер, несмотря Ангиографическая классификация артериита Такаясу [7,8] Angiographic classification of Takayasu»s arteritis [7,8] [7,8]. I, IIa, IIb, III, IV, V denotes the type of aorta involvement О п и с а н и е с л у ч а я на адекватную гипотензивную терапию, что требовало дифференциальной диагностики в рамках вазореналь-ной АГ, тромботических осложнений, врожденных аневризматических пороков развития аорты, систем-ных заболеваний соединительной ткани, в том числе антифосфолипидного синдрома.…”

Section: клиническое наблюдениеunclassified

“…таблицу, рис. 3) [7,8]. Согласно этой классификации в представленном случае наблюдается IV тип поражения ветвей аорты, характеризующийся вовлечением в патологический процесс брюшной аорты и почечных артерий.…”

Section: Introductionunclassified

Systemic Vasculitis With Lesion of Large Vessels as a Cause of Art Erial Hypert Ension in a Patient of Young Age

et al. 2018

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Objective:to analyze and present a clinical case of late diagnosis of Takayasu’s arteritis in a young female patient with long-term arterial hypertension.Materials and methods.The female patient G., born in 1989, had noted elevated arterial pressure (AP) of 150/90 mm Hg since she was 14. At 21 the following diagnosis was stated: Fibro-muscular dysplasia, stenosis of the left renal artery. Stenosis of the celiac trunk. Aneurisms of the branches of the superior mesenteric artery; prosthesis of the left renal artery was performed. Since the beginning of 2016, the patient has noted elevated AP of 200/110 mm Hg despite continuing hypotensive therapy. Diagnosis of Nonspecific aortoarteritis was proposed in May of 2017. Methylprednisolone therapy was administered: 250 mg No. 2 intravenously, Prednisolone: 25 mg a day orally. Due to signs of decreased blood flow to the left kidney, in August of 2017 extracorporeal repeat prosthesis of the left renal artery, bypass of the right middle renal artery with reversed autovein were performed.Results.During examination in October of 2017, the patient complained of weakness, frequent elevated AP of 200/110 mm Hg. In blood test: hemoglobin 106 g/l, erythrocyte sedimentation rate 38 mm/h, C-reactive protein 25 mg/l. A heterozygous mutation in the methylenetetrahydropholate reductase, a heterozygous mutation in the factor V gene (G1691A) were identified. Homocysteine level was normal, infection and oncological pathology were excluded. The following diagnosis was made: Takayasu»s arteritis type IV affecting the aorta and its branches, moderate activity. Occlusion of the celiac trunk. Aneurisms of the branches of the superior mesenteric artery. Critical stenosis of the left renal artery. Thrombosis of the aorto-renal prosthesis. Hypoplasia of the left kidney. Prednisolone 50 mg a day, metoprolol 50 mg a day, valsartan 160 mg a day, acetylsalicylic acid 100 mg a day were prescribed.Conclusion.The presented clinical observation shows the importance of comprehensive examination of young patients complaining of elevated AP for many years. Due to untimely diagnosis and absence of pathogenetic therapy, the patient suffered negative consequences of surgical treatment.

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“…La arteritis de Takayasu puede ser clasificada en seis tipos, basado en criterios hagiográficos (12) .…”

Section: Introductionunclassified

Presentación de un caso de arteritis de Takayasu en un adolescente

Aranda-Paniora¹,

Montoya²,

Vilca³

2016

An Fac med

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ResumenLa arteritis de Takayasu es una entidad rara en pediatría y su presentación clínica plantea diversos diagnósticos diferenciales. Se publica el caso de un adolescente de 14 años que ingresó a un Hospital de Lima con convulsiones tónico clónicas generalizadas e hipertensión arterial de grado 2. Posteriormente fue derivado para estudio al Instituto de Salud del Niño de Lima, Perú. Se revisa los criterios diagnósticos, su evolución y tratamiento. Palabras clave. Arteritis de Takayasu; Hipertensión Arterial; Pediatría. Abstract Takayasu arteritis is a rare entity in pediatrics and clinical presentation raises several differential diagnoses. We report the case of a 14-year-old boy with generalized tonic clonic seizures and stage 2 hypertension referred for study to the Instituto Nacional de Salud del Niño in Lima, Peru. Diagnostic criteria, evolution and treatment are reviewed. Keywords. Takayasu's Arteritis; Hypertension; Pediatrics. An Fac med. 2016;77(2):167-70 / http://dx

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Angiographic findings of Takayasu arteritis: New classification

Cited by 531 publications

References 25 publications

Long-Term Patency of an Aorta-Aortic Graft Bypass in a Patient with Takayasu Arteritis.

Long-Term Patency of an Aorta-Aortic Graft Bypass in a Patient with Takayasu Arteritis.

Systemic Vasculitis With Lesion of Large Vessels as a Cause of Art Erial Hypert Ension in a Patient of Young Age

Presentación de un caso de arteritis de Takayasu en un adolescente

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