Mid-aortic syndrome secondary to Takayasu's disease.
Tsun Wai Jeffrey WuPublished in: BMJ case reports (2017)
A 24-year-old young woman with good past health presented with hypertension during body check. Blood erythrocyte sedimentary rate level was elevated. CT and MR angiography revealed moderate stenosis of abdominal aorta and bilaterally renal arteries. She was diagnosed with mid-aortic syndrome caused by Takayasu arteritis based on clinical, radiological and pathological findings. She was treated with abdominal aorta resection, graft replacement and aorta-renal bypass. Pathology was compatible with Takayasu arteritis. Postoperatively, her blood pressure was normalised. She was prescribed with long-term prednisolone and aspirin for her arteritis.
Keyphrases
- aortic valve
- pulmonary artery
- blood pressure
- aortic dissection
- case report
- computed tomography
- coronary artery
- pulmonary hypertension
- pulmonary arterial hypertension
- contrast enhanced
- healthcare
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- optical coherence tomography
- low dose
- mental health
- left ventricular
- hypertensive patients
- magnetic resonance imaging
- heart rate
- antiplatelet therapy
- single cell
- high intensity
- magnetic resonance
- adipose tissue
- cardiovascular events
- image quality
- middle aged
- percutaneous coronary intervention
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- positron emission tomography
- arterial hypertension