Pulmonary Valvular Stenosis Associated with Takayasu's Disease. Favorable Response to Corticosteroids A Case Report

Author:

Rangel Alberto1,Badui Elias1,Jara Luis J.2,Chavez Eduardo1,Solorio Sergio1,Enciso Roberto1,Verdin Raul3,Marin Guadalupe1

Affiliation:

1. Departamento de Hemodinamia de la Division de Cardiologia, Hospital de Especialidades y Hospital General, Centro Medico "La Raza" IMSS, Mexico, D.F.

2. Departamento de Reumatologia, Hospital de Especialidades y Hospital General, Centro Medico "La Raza" IMSS, Mexico, D.F.

3. Cirugia Cardiotoracica, Hospital de Especialidades y Hospital General, Centro Medico "La Raza" IMSS, Mexico, D.F.

Abstract

The authors describe the first reported case of type IV Takayasu's arteritis with pulmonary valve stenosis. After thirty months under corticosteroid therapy the disappearance of the pulmonary valve stenosis signs was observed in the patient. In the same patient coarcta tion of the aorta, aortic insufficiency, stenosis of both pulmonary arteries, and left coronary artery stenosis were observed. This case illustrates the extensive cardiovascular involvement that can occur in Takayasu's arteritis and suggests that pulmonary valvular stenosis could be secondary to the same inflammatory process.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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