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Takayasu's arteritis presenting as aortic valve mass
Journal of Indian College of Cardiology 6 (2016) 95
Contents lists available at ScienceDirect
Journal of Indian College of Cardiology journal homepage: www.elsevier.com/locate/jicc
Abstract
Takayasu’s arteritis presenting as aortic valve mass J. Surya Narayana *, Beeresha, M.C. Yerriswamy, C.N. Manjunath Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bengaluru, India
1. Introduction Takayasu arteritis is a chronic, progressive, autoimmune, idiopathic, large-vessel vasculitis that usually affects young adults. This inflammatory process generally results in stenoses, occlusions, and aneurysmal dilatation, any of which may become symptomatic. We describe the unusual case of a patient with Takayasu’s arteritis who presented with an aortic mass of unknown origin. 2. Summary A 40-year-old woman, presented with effort angina and dysponea on exertion for 6 months. Examination was unremarkable with all peripheral pulses palpable. ECG showed features suggestive of LMCA. ECHO revealed aortic valve mass with severe
* Corresponding author. http://dx.doi.org/10.1016/j.jicc.2016.11.042 1561-8811/
AR. Coronary angiogram revealed ostial LMCA and ostial RCA. Cardiac MRI revealed etiology of the mass (? infiltrative, inflammatory). Blood investigations including hemogram, LFT, RFT, thyroid profile, viral markers and ANA were normal. Abdominal fat pad biopsy ruled out amyloidosis. Patient was taken up for emergency surgery in view of ongoing pain. Patient succumbed on table as the aortic valve mass and surrounding tissue was very fragile. Mass sent for histopathological analysis was suggestive of Takayasu arteritis. The case is reported due to the rarity of this occurrence and to consider this differential diagnosis while evaluating a mass of unknown origin in the setting of ostial stenosis. Conflicts of interest The authors have none to declare.
Contents lists available at ScienceDirect
Journal of Indian College of Cardiology journal homepage: www.elsevier.com/locate/jicc
Abstract
Takayasu’s arteritis presenting as aortic valve mass J. Surya Narayana *, Beeresha, M.C. Yerriswamy, C.N. Manjunath Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bengaluru, India
1. Introduction Takayasu arteritis is a chronic, progressive, autoimmune, idiopathic, large-vessel vasculitis that usually affects young adults. This inflammatory process generally results in stenoses, occlusions, and aneurysmal dilatation, any of which may become symptomatic. We describe the unusual case of a patient with Takayasu’s arteritis who presented with an aortic mass of unknown origin. 2. Summary A 40-year-old woman, presented with effort angina and dysponea on exertion for 6 months. Examination was unremarkable with all peripheral pulses palpable. ECG showed features suggestive of LMCA. ECHO revealed aortic valve mass with severe
* Corresponding author. http://dx.doi.org/10.1016/j.jicc.2016.11.042 1561-8811/
AR. Coronary angiogram revealed ostial LMCA and ostial RCA. Cardiac MRI revealed etiology of the mass (? infiltrative, inflammatory). Blood investigations including hemogram, LFT, RFT, thyroid profile, viral markers and ANA were normal. Abdominal fat pad biopsy ruled out amyloidosis. Patient was taken up for emergency surgery in view of ongoing pain. Patient succumbed on table as the aortic valve mass and surrounding tissue was very fragile. Mass sent for histopathological analysis was suggestive of Takayasu arteritis. The case is reported due to the rarity of this occurrence and to consider this differential diagnosis while evaluating a mass of unknown origin in the setting of ostial stenosis. Conflicts of interest The authors have none to declare.