Mid-aortic syndrome secondary to Takayasu’s disease

Cheng, Kai‐Chun; Li, Yan-Lin

doi:10.1136/bcr-2017-221729

Cited by 4 publications

(3 citation statements)

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“…It allows visualization of the aorta, and its branches and collaterals as well as wall calcification and intraluminal thrombus in a single session. CT is also useful for looking at the causes, examine the para-aortic region and follow up patient post-intervention [11 , 12] . The imaging is even faster and provides high-quality arterial phase data which could be used for three-dimensional reformations.…”

Section: Discussionmentioning

confidence: 99%

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Asymptomatic complete distal abdominal aortic occlusion with initial presentation of ruptured intracranial aneurysm

Nadarajan

Wahid

et al. 2021

Radiology Case Reports

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Aortoilliac occlusive disease is occlusive atherosclerosis disease involving the distal aorta and bifurcation of iliac arteries and it is a subtype of peripheral arterial disease. Total occlusion of the abdominal aorta is a rare occurrence with an incidence of 3% -8.5% among the aortoiliac occlusive disease patients. We present a case of a 53 years old patient with a background history of hypertension and ex intravenous drug abuser with negative retroviral screening status, with no previous complaints who was brought to the Emergency Department with sudden onset of altered sensorium and 1 episode of seizure. Computed tomography angiogram of the brain showed a ruptured anterior communicating artery aneurysm. Diagnostic conventional angiogram of the brain was planned; however, difficulty was encountered during bilateral femoral artery cannulation with the abrupt termination of bilateral common iliac arteries. Computed tomography angiogram of the abdomen showed incidental finding of total occlusion of the abdominal aorta. As a conclusion, total occlusion of abdominal aorta secondary to aortoiliac occlusive disease with an associated intracranial aneurysm is never reported in the literature to date. This case highlights the possibility of association in between these two conditions which may benefit from further research.

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Section: Discussionmentioning

confidence: 99%

“…Other useful modality includes Doppler ultrasonography. It is good for the assessment of vessel wall thickness and signs of vessel inflammation, like the one caused by vasculitis [12] .…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic complete distal abdominal aortic occlusion with initial presentation of ruptured intracranial aneurysm

Nadarajan

Wahid

et al. 2021

Radiology Case Reports

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“…Heart failure is considered the key cause of mortality among TA patients (4). Several sporadic cases of severe heart failure were reported in patients with TA-induced MAS, which is a rare but potential life-threatening condition (3,5,6).…”

Section: Introductionmentioning

confidence: 99%

Mid-aortic syndrome is associated with increased left ventricular mass index in Takayasu arteritis

et al. 2021

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Background: Mid-aortic syndrome (MAS) may induce changes in cardiac structure among patients with Takayasu arteritis (TA).Methods: Consecutive adult patients with TA (January 1, 2011 to January 1, 2018) were enrolled and their data was retrospectively analyzed.Results: Patients were divided into MAS group (100/457 patients, 21.8%) and non-MAS group (357, 78.1%). The left ventricular mass index (LVMI) was higher in the MAS group than the non-MAS (113.78±26.82 versus 100.74±23.66 g/m 2 , respectively; P<0.001). The MAS group showed higher prevalence than the non-MAS group of mild-to-severe mitral regurgitation (9.0% and 3.9%, respectively; P=0.040) and aortic regurgitation (26% and 14.8%, respectively; P=0.003). No difference was found in the rates of heart failure (27.0% and 19.9% for MAS and non-MAS, respectively; P=0.126). The MAS group also showed lower estimated glomerular filtration rates than the non-MAS group (89.93±18.89 versus 96.16±21.60 mL/min /1.73 m 2 , respectively; P=0.009) and higher prevalence of renal artery stenosis (57% versus 43.7%; P=0.018). MAS was independently related to greater LVMI in both unadjusted model [β=12.60; 95% confidence interval (CI): 7.09-18.11; P<0.001] and the model adjusted for multiple indices (β=9.91; 95% CI: 4.57-15.25; P<0.001) in multivariate linear analysis. The LVMI significantly decreased from 111.49±25.65 to 100.36±22.91 g/m 2 (P<0.001) among 55 patients who underwent successful revascularization treatment for MAS, while no significant difference (P=0.635) was observed among patients treated with medicine alone.Conclusions: TA-induced MAS is a potential independent risk factor for increased LVMI, and revascularization therapy for MAS is effective in reversing structural changes in the heart.

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