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Successful Treatment of Acute, Severe Aortic Regurgitation Caused by Takayasu's Arteritis: A Case Report

First Department of Internal Medicine, The Department of Thoracic Surgery, Mie University School of Medicine, Tsu, Japan

Naoki Isaka

First Department of Internal Medicine, The Department of Thoracic Surgery, Mie University School of Medicine, Tsu, Japan

Hideo Takezawa

First Department of Internal Medicine, The Department of Thoracic Surgery, Mie University School of Medicine, Tsu, Japan

Minoru Kusagawa

First Department of Internal Medicine, The Department of Thoracic Surgery, Mie University School of Medicine, Tsu, Japan

Acute, severe aortic regurgitation due to dilatation of the aortic root was studied in a 16-year-old Japanese female with Takayasu's arteritis. The patient was admitted because of acute pulmonary edema followed by systemic illness characterized by fever, anorexia, and general fatigue. The echocardiogram and aortogram demonstrated acute, severe aortic regurgitation due to dilatation of the aortic root. She was successfully treated with aortic valve replacement and steroid. Microscopic examination of the aortic wall demonstrated granuloma tous lesions with multinucleated giant cells. Now, three years later, she remains asymptomatic and hemodynamically stable.

Angiology, Vol. 37, No. 7, 524-529 (1986)
DOI: 10.1177/000331978603700706


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