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

Alberto Rangel

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

Elias Badui

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

Luis J. Jara

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

Eduardo Chavez

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

Sergio Solorio

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

Roberto Enciso

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

Raul Verdin

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

Guadalupe Marin

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

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.

Angiology, Vol. 47, No. 7, 717-724 (1996)
DOI: 10.1177/000331979604700714
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