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Angiology
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Takayasu's Arteritis with Collateral Circulation from the Right Coronary Artery to Intracranial Vessels— A Case Report

Hisashi Masugata

From the Department of Internal Medicine, Osaka Rosai Hospital, Sakai, Japan

Masao Yasuno

From the Department of Internal Medicine, Osaka Rosai Hospital, Sakai, Japan

Masami Nishino

From the Department of Internal Medicine, Osaka Rosai Hospital, Sakai, Japan

Shusaku Ohnishi

From the Department of Internal Medicine, Osaka Rosai Hospital, Sakai, Japan

Hideo Tanahashi

From the Department of Internal Medicine, Osaka Rosai Hospital, Sakai, Japan

Kenji Sueyoshi

From the Department of Internal Medicine, Osaka Rosai Hospital, Sakai, Japan

Yoshio Yamada

From the Department of Internal Medicine, Osaka Rosai Hospital, Sakai, Japan

Hiroshi Abe

From the Department of Internal Medicine, Osaka Rosai Hospital, Sakai, Japan

A forty-four-year-old woman with Takayasu's arteritis and involvement of the aortic arch and its main branches complained of precordial pain on effort. Exercise electrocardiograms revealed significant ST segment depression in leads II, III, aVF, and V4-6. Coronary arteriograms demonstrated no stenosis. However, the right coronary arteriogram revealed collateral circulation arising from the sinus node artery to the bilateral vertebral arteries and the left internal carotid artery. The collateral circulation was considered to be an important route of blood flow supply to the brain and, at the same time, a cause of coro nary steal syndrome and, consequently, of angina pectoris.

Angiology, Vol. 43, No. 5, 448-452 (1992)
DOI: 10.1177/000331979204300514
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