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J Thorac Cardiovasc Surg 2008;135:695-696
© 2008 The American Association for Thoracic Surgery

Brief Communication

Complete occlusion of the left main coronary artery ostium in Takayasu arteritis

Abbas Emami Nia, MD*, Ahmad Ali Amirghofran, MD

Division of Cardiac Surgery, Department of Surgery, Shiraz University of Medical Sciences, Faghihi Hospital, Shiraz, Iran

Received for publication September 29, 2007; accepted for publication November 26, 2007.

* Address for reprints: Abbas Emami Nia, MD, Division of Cardiovascular Surgery, Department of Surgery, Shiraz University of Medical Sciences, Faghihi Hospital, Shiraz, Iran 71357. (Email: emaminia@gmail.com).

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


Figure 1
Drs Nia and Amirghofran (left to right)


Coronary artery involvement occurs in about 10% of patients with Takayasu arteritis (TA), with the coronary ostia involved most frequently. We report the rare case of a patient with complete obliteration of the left coronary ostium found intraoperatively. This has not previously been reported in the literature. The patient also had a ventricular septal defect (VSD) and severe aortic regurgitation. She underwent on-pump coronary artery bypass grafting (CABG), aortic valve replacement, and VSD closure in a single operative session.

Clinical Summary

A 27-year-old woman was admitted to our facility because of exertional angina. She had had TA diagnosed at the age of 24 years. Her blood pressure readings were 95/65 mm Hg in the right arm and 120/70 mm Hg in the left arm. Results of head, neck, ear, and eye examinations were unremarkable, and no bruits were heard over the subclavian and common carotid arteries. Cardiac examination revealed . . . [Full Text of this Article]






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