Mismatch of systematic and local inflammatory activity in Takayasu arteritis with coronary involvement: a case report.

ABSTRACT:

Background

Accurate evaluation of the activity stage in Takayasu arteritis (TA) is important for the revascularization of TA with coronary artery involvement (TA-CAD). Here, we report the case of a patient with a mismatch of systemic and local inflammatory activity, leading to 13 times the need for recurrent coronary revascularization.

Case summary

A 31-year-old woman with a family history of coronary artery disease underwent percutaneous coronary intervention (PCI) for critical ostial lesions. This patient was identified with Numano Type V TA and she underwent optimal medical therapy and PCIs. Her clinical inflammatory markers were quickly normalized. However, in-stent restenosis events recurred every 3 months. Virtual-histology intravascular ultrasound (VH-IVUS) and ¹

SUBMITTER: Nan N 

PROVIDER: S-EPMC10406451 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature