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J Thorac Cardiovasc Surg 2007;133:1647-1648
© 2007 The American Association for Thoracic Surgery

Brief Communication

Long abdominal aortic stenosis: A rare presentation of Takayasu arteritis treated with percutaneous stent implantation

Pasquale Perrone-Filardi, MD*, Pierluigi Costanzo, BS, Paolo Cesarano, MD, Antonio Marzano, MD, Giovanni Esposito, MD, Gabriele Iannelli, MD, Massimo Chiariello, MD

Department of Internal Medicine, Cardiovascular and Immunological Sciences, Federico II University, Naples, Italy.

Received for publication January 22, 2007; accepted for publication January 31, 2007.

* Address for reprints: Pasquale Perrone Filardi, Via S. Pansini 5, Naples, 80131 Italy. (Email: fpperron@unina.it).

The first 20% of the full text of this article appears below.

We describe the case of a patient with a long abdominal aortic stenosis. This condition can have different causes. On the basis of the American College of Rheumatology criteria and Sharma’s diagnostic criteria, the cause in this patient was a rare presentation of Takayasu arteritis. Generally, this vasculitis affects the epiaortic arteries, causing diminished or absent pulses in the upper limbs; in this case, the arteritis affected the abdominal aorta, causing claudication of the lower limbs.

Clinical Summary

A 46-year-old woman was admitted to our department for claudication of the lower limbs. The claudication started 6 years before at the right limb and then progressed to the left limb, reaching a maximal walking distance of less than 100 m at the time of hospitalization. An echo-Doppler of the lower limbs demonstrated the absence of obstructive lesions. We performed . . . [Full Text of this Article]






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Copyright © 2007 by The American Association for Thoracic Surgery.