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Gepubliceerd in: Netherlands Heart Journal 12/2021

Open Access 30-11-2020 | Heart Beat

Revascularisation difficulties in acute cardiac syndrome as debut of Takayasu arteritis

Auteurs: A. Riaño Ondiviela, J. Alameda Serrano, A. Lukic Otanovic, J. R. Ruiz Arroyo

Gepubliceerd in: Netherlands Heart Journal | Uitgave 12/2021

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A 44-year-old woman without cardiovascular risk factors presented with sudden oppressive chest pain. There were heart failure signs and a right carotid murmur; the left radial and brachial pulse were absent. Electrocardiography showed a 6-mm ST-segment elevation in V2–V6, suggesting anterior myocardial infarction. She was referred for emergent percutaneous coronary revascularisation and several insertion sites were tried to gain vascular access, but without success (Fig. 1). Percutaneous recanalisation and stent implantation in the right brachiocephalic branch were necessary to perform coronary angiography and angioplasty with drug-eluting stent implantation in a critical stenosis of the proximal part of the left descending coronary artery.
In this case, the clinical presentation, physical examination and angiographic findings suggested large-vessel vasculitis due to Takayasu disease [13]. Takayasu arteritis must be included in the differential diagnosis of acute coronary syndrome, especially in young women without cardiovascular risk factors [4].

Conflict of interest

A. Riaño Ondiviela, J. Alameda Serrano, A. Lukic Otanovic and J.R. Ruiz Arroyo declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​.
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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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Metagegevens
Titel
Revascularisation difficulties in acute cardiac syndrome as debut of Takayasu arteritis
Auteurs
A. Riaño Ondiviela
J. Alameda Serrano
A. Lukic Otanovic
J. R. Ruiz Arroyo
Publicatiedatum
30-11-2020
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 12/2021
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-020-01523-w