Coronary arterial stenosis, angina pectoris and atypical coarctation of the aorta due to nonspecific arteritis

Young, Jerald A.; Sengupta, Amarendra; Khaja, Fareed

doi:10.1016/s0002-9149(73)80146-8

Cited by 40 publications

(10 citation statements)

References 14 publications

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“…Coronary artery involvement in Takayasu's arteritis was fi rst described by Frovig in 1951, and the fi rst coronary artery bypass grafting was performed by Young [ 76 ] in 1973.…”

Section: Coronary Lesionsmentioning

confidence: 99%

Management of Aneurysms in Takayasu’s Arteritis

Silva

Valdés

Almeida

2013

Inflammatory Response in Cardiovascular Surgery

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“…Coronary artery involvement in Takayasu's arteritis was fi rst described by Frovig in 1951, and the fi rst coronary artery bypass grafting was performed by Young [ 76 ] in 1973.…”

Section: Coronary Lesionsmentioning

confidence: 99%

Management of Aneurysms in Takayasu’s Arteritis

Silva

Valdés

Almeida

2013

Inflammatory Response in Cardiovascular Surgery

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“…4). Most coronary artery lesions are due to extension of intimal proliferation and fibrous contraction due to inflammatory process that involves the ascending aorta [12,41,50,51]. The second foci of coronary artery involvement are non-ostial proximal parts of the major coronary arteries.…”

Section: Cardiac Involvementmentioning

confidence: 99%

Surgical treatment of cardiac involvement in Takayasu arteritis

Amano

Suzuki

1992

Heart Vessels

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Cardiac involvement is a serious disorder in Takayasu arteritis. Surgical treatment of aortic root and coronary artery lesions due to Takayasu arteritis has many potential difficulties due to its inflammatory nature. We operated on 15 patients with cardiac involvement stemming from Takayasu arteritis. These patients are classified into 3 groups depending on the clinical diagnosis and surgical procedures employed: coronary artery involvement alone--coronary artery bypass grafting (CABG), three patients (group A), aortic regurgitation with intact coronary artery--Aortic valve replacement or modified Bentall's operation, eight patients (group B), and aortic regurgitation with coronary artery involvement g aortic valve replacement or modified Bentall's operation with CABG, (4 patients) (group C). CABG was performed using saphenous vein graft. For aortic valve replacement or replacement of both the aortic valve and ascending aorta, a prosthetic valve or composite graft with Teflon felt flange was fabricated during surgery and treated with fibrin glue before insertion. A double fixation method with reinforcement by a Teflon felt strip was employed for proximal anastomosis of the flanged prosthesis. A button-shaped coronary ostium was directly anastomosed to the composite graft. There was no operative or hospital mortality. One patient died of brain abscess at 6 months after surgery and another patient with CABG required a second operation due to graft failure. Steroid therapy is recommended in cases diagnosed as being in an active stage until the inflammatory signs disappear.

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“…Angina pectoris, heart failure and myocardial infarction have been reported [7,8]. These cardiac manifestations may result from aortic regurgitation or coronary occlusion.…”

Section: Address Correspondence To: T Nishimuramentioning

confidence: 99%

Coronary arterial involvement in aortitis syndrome: Assessment by exercise thallium scintigraphy

1992

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It is important in patient management to evaluate coronary arterial involvement in aortitis syndrome. Twenty-one cases of aortitis syndrome who experienced chest pain were examined using exercise thallium scintigraphy. The patients were divided into 4 groups according to the angiographic findings. There were five patients with left main coronary arterial involvement (group A), four with left or right coronary arterial involvement (group B), nine with aortic regurgitation (group C), and three with pulmonary arterial involvement (group D). In groups A and B, all patients had positive ECGs and thallium perfusion defects. Group A patients showed extensive anterolateral perfusion defects, which were compatible with left main coronary arterial involvement. Groups C and D patients, who had normal coronary arteries, showed no remarkable perfusion defects although five had positive ECG findings. Thus, the sensitivity and specificity of exercise scintigraphy for detection of myocardial ischemia were 9/9 and 12/12, while those of stress ECG were 9/9 and 7/12 (58%), respectively. it is recommended that exercise thallium scintigraphy be used for detecting clinically occult but significant coronary arterial involvement in aortitis syndrome with chest pain.

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Coronary arterial stenosis, angina pectoris and atypical coarctation of the aorta due to nonspecific arteritis

Cited by 40 publications

References 14 publications

Management of Aneurysms in Takayasu’s Arteritis

Management of Aneurysms in Takayasu’s Arteritis

Surgical treatment of cardiac involvement in Takayasu arteritis

Coronary arterial involvement in aortitis syndrome: Assessment by exercise thallium scintigraphy

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