Endocardial lesion in a case of Takayasu's arteriopathy.

Chhetri, M K; Pal, Nikhil; Neelakantan, C; Chowdhury, NA; Mullick, K C

doi:10.1136/hrt.32.6.859

Cited by 13 publications

(4 citation statements)

References 9 publications

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“…The latter does not appear to be due to mitral incompetence, as the mitral valve was normal, and the lesion was present in much higher area near the entry of the pulmonary veins. On the other hand, in the case reported by Chhetri et al, 19) the lesion was present just above the posterior leaflet of the mitral valve and had a superimposed thrombus. It seems logical to conclude that in the 4 cases described here, the alterations in the heart are independent of those in the aorta.…”

Section: Discussionmentioning

confidence: 70%

Aortoarteritis and Cardiomyopathy

1978

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Section: Discussionmentioning

confidence: 70%

Aortoarteritis and Cardiomyopathy

1978

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“…In recent years, other cases of aortitis accompanied by myocardi tis, endocarditis and pericarditis have occa sionally been reported [11,12], A severe con duction disturbance may thus occur as a result of intraventricular spread of inflam mation in Takayasu's aortitis. This possibil ity should be kept in mind as a probably rare but life-threatening complication.…”

Section: Discussionmentioning

confidence: 99%

Advanced Atrioventricular Block and Complete Left Bundle Branch Block in a Case of Takayasu’s Aortitis

Naitoh

Chino²,

Sakai³

et al. 1990

Cardiology

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A 56-year-old woman, who had received an aortic valve replacement suffered from complete left bundle branch block and advanced atrioventricular block. On the basis of marked systemic inflammatory findings on admission and histopathological findings on previous cardiac surgery, this patient was considered to have conduction disturbances that were a consequence of myocardial involvement of Takayasu’s aortitis. The conduction disturbances improved rapidly after treatment with steroids.

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“…Occasionally it may affect the pulmonary trunk and eventually the cardiac endocardium and the valves (22,23).…”

Section: Case IImentioning

confidence: 99%

Pulseless Disease with Occlusive Abdominal Aortitis and Hyper tension

E¹,

St²,

Sn³

et al. 1974

Angiology

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Since the first description of pulseless disease in young females by Takayasu and Onishi, the disease has been the subject of a large number of case reports and reviews.3-10The fact that involvement of the aortic arch is not pathognomonic of the disease was soon realised. Since then, several cases with involvement of any part of the aorta have been reported.The purpose of this paper is to report two more cases of extensive involvement of the aorta and its branches in young Greek females, presenting as juvenile hypertension. This two patients bring the number of reported cases of pulseless disease in Greece to thirteen. 11-21 CASE I The patient, a young female 22 years old, has been admitted to the hospital for the evaluation of her hypertension, known two years before the admission and discovered during an examination for a skin lesion of the lower limbs. (Figure 1).On admission the blood pressure was 165/100 mmHg and the pulses of the upper limbs were normal. A marked delay of the femoral pulses was noted. Thrills were noted on both sides of the neck. The aucultation of the heart disclosed normal sounds.Systolic ejection murmurs were heard over the carotids and over the abdomen. This last murmur radiated towards the femoral arteries and the lumbar area. The fundi of the eyes were normal and the laboratory findings were equally within normal limits. Tests for venereal disease were negative. Aortographies were performed after injection of Hypaque in two sites, namely at the root of the aorta and the lower part of the thoracic aorta.From Department of Cardiology of King Paul Hospital, Athens, Greece. They were interpreted as follows: There is a stenosis at the beginning of the right common carotid 3-4 cms long, followed by a progressive increase of the diameter of the artery. The left common carotid artery was narrowed in all its length. (Figure 2).The thoracic aorta disclosed a progressive narrowing appearing at the height of the 7th thoracic vertebra. An additional stenosis was visualized 1 cm below the ostia of the renal arteries, 5 cm long, terminating with a poststenotic dilatation. This stenosis showed irregular borders. There was equally a stenosis of the left renal artery (Figure 3). CASE IIThe patient, a 25 year old woman, was admitted for the control of the hypertension discovered during her recent pregnancy. During the labor the systolic blood pressure exceeded 250 mm Hg.On admission her blood pressure was 190/70 mm Hg. There was no palpable pulsations of the left axillar and brachial arteries.The palpation of the neck, disclosed a marked decrease of the pulse amplitude at the left carotid. A delay of the femoral pulse was equally noted. Systolic ejection murmurs were heard over the left carotid. The electrocardiogram showed patterns of left ventricular hypertrophy. The radiological picture of the heart was normal with a moderate increase of the diameter of the ascending aorta. The fundi were normal, and the laboratory findings were equally within normal limits. Serological tests for venereal diseases we...

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Endocardial lesion in a case of Takayasu's arteriopathy.

Cited by 13 publications

References 9 publications

Aortoarteritis and Cardiomyopathy

Aortoarteritis and Cardiomyopathy

Advanced Atrioventricular Block and Complete Left Bundle Branch Block in a Case of Takayasu’s Aortitis

Pulseless Disease with Occlusive Abdominal Aortitis and Hyper tension

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Endocardial lesion in a case of Takayasu's arteriopathy.

Cited by 13 publications

References 9 publications

Aortoarteritis and Cardiomyopathy

Aortoarteritis and Cardiomyopathy

Advanced Atrioventricular Block and Complete Left Bundle Branch Block in a Case of Takayasu&rsquo;s Aortitis

Pulseless Disease with Occlusive Abdominal Aortitis and Hyper tension

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Advanced Atrioventricular Block and Complete Left Bundle Branch Block in a Case of Takayasu’s Aortitis