Takayasu Arteritis as a Secondary Cause of Arterial Hypertension

التفاصيل البيبلوغرافية
العنوان: Takayasu Arteritis as a Secondary Cause of Arterial Hypertension
المؤلفون: Oliveira, Pedro Manuel, Fereira, Paula, Murteira, Fábio, Rato, Inês Rueff, Barbedo, Marta
المصدر: International Journal of Cardiovascular Sciences. January 2022
بيانات النشر: Sociedade Brasileira de Cardiologia, 2022.
سنة النشر: 2022
مصطلحات موضوعية: Takayasu Arteritis, Hypertension, Renal Artery Obstruction, Aorta, Thoracic, Computed Tomography Angiography/ methods
الوصف: Takayasu arteritis (TA) is a rare type of vasculitis that affects mainly the aorta and its major branches. It is highly similar to giant cell arteritis (GCA), and differentiation between them may not be achieved even by histological examination. Arterial hypertension is typical of TA and is caused by stenosis of the renal arteries. Here we report the case of a 59-year-old woman, with a history of dyslipidemia and anemia, seen in the Internal Medicine department for resistant hypertension. Evaluation of secondary causes led to stenosis of the renal arteries. Assessment of target organ involvement was performed by computed tomography angiograph which revealed ectasia of the aortic arch and ascending aorta, tortuous course of the brachiocephalic trunk and the proximal portion of the right common carotid artery; positron-emission tomography which showed diffuse increased uptake in the ascending aorta, compatible with large vessels vasculitis. The patient was submitted to aortic valve replacement with a biological prosthesis combined with myocardial revascularization (Bentall-De Bono procedure). Aortic biopsy specimens showed anatomical and pathological features of GCA and TA. Due to persistently uncontrolled hypertension, prednisone 60 mg was initiated,with significant improvement in patient’s condition.
نوع الوثيقة: report
وصف الملف: text/html
اللغة: English
تدمد: 2359-5647
DOI: 10.36660/ijcs.20210040
URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472022005016202
حقوق: info:eu-repo/semantics/openAccess
رقم الأكسشن: edssci.S2359.56472022005016202
قاعدة البيانات: SciELO
الوصف
تدمد:23595647
DOI:10.36660/ijcs.20210040