Successful Treatment of Acute, Severe Aortic Regurgitation Caused by Takayasu's Arteritis: A Case Report

Nakano, Takeshi; Isaka, Naoki; Takezawa, Hideo; Kusagawa, Minoru
July 1986
Angiology;Jul1986, Vol. 37 Issue 7, p524
Academic Journal
Acute, severe aortic regurgitation due to dilatation of the aortic root was studied in a 16-year-old Japanese female with Takayasu's arteritis. The patient was admitted because of acute pulmonary edema followed by systemic illness characterized by fever, anorexia, and general fatigue. The echocardiogram and aortogram demonstrated acute, severe aortic regurgitation due to dilatation of the aortic root. She was successfully treated with aortic valve replacement and steroid. Microscopic examination of the aortic wall demonstrated granulomatous lesions with multinucleated giant cells. Now, three years later, she remains asymptomatic and hemodynamically stable.


Related Articles

  • Chordae Tendineae Rupture Resulting in Pulmonary Edema in a Patient with Discrete Subvalvular Aortic Stenosis: A Case Report and Literature Review. Adler, O.; Kalidindi, S.; Butt, A.; Hussain, K.M.A. // Angiology;Sep/Oct2003, Vol. 54 Issue 5, p613 

    This report concerns an apparently healthy elderly woman who presented with gradually worsening mitral regurgitation secondary to chordae tendineae rupture leading to pulmonary edema in the presence of discrete subvalvular aortic stenosis with a severe gradient reflecting the left ventricular...

  • 102 Patients with aortic valve disease surviving pulmonary edema: does this event matter for mortality after aortic valve replacement? Mistiaen, W.; Van Cauwelaert, P.; Muylaert, P. // European Journal of Heart Failure. Supplements;Jun2006, Vol. 5 Issue 1, p24 

    An abstract of the study "Patients with aortic valve disease surviving pulmonary edema: does this event matter for mortality after aortic valve replacement?," by W. Mistiaen and colleagues is presented.

  • Protamine sulfate.  // Reactions Weekly;2/16/2008, Issue 1189, p29 

    The article describes the case of a 19-year-old woman who developed noncardiogenic pulmonary edema after receiving an intravenous infusion of protamine sulfate following a cardiopulmonary bypass (CPB). The patient underwent a Ross procedure for aortic insufficiency. She developed tachycardia...

  • Commissure avulsion of the aortic valve caused by purulent pericarditis: report of a case. Yamasaki, Manabu; Watanabe, Sunao; Abe, Kohei; Kawazoe, Kohei // Surgery Today;Jul2014, Vol. 44 Issue 7, p1343 

    A 20-year-old man with fever and chest pain was referred to our hospital, where purulent pericarditis was confirmed by various examinations. Hemodynamic collapse and acute pulmonary edema occurred 1 week later, caused by acute severe aortic valvular regurgitation (AR). Emergency surgery revealed...

  • Horton's aortitis. Marchal, Vanessa; Sprynger, Muriel // European Journal of Echocardiography;Sep2008, Vol. 9 Issue 5, p742 

    Giant cell arteritis is the most common systemic vasculitis in people over the age of 50 years. Ischaemic manifestations are well known. ‘Occult’ manifestations as aortic aneurysmal disease need consideration. The incidence of aortic aneurysm and/or dissection is about 18.5 per 1000...

  • Diastolic Left Main Coronary Flow Reversal. George, Betsy Ann; Roberts, Brad J.; Grayburn, Paul A. // Texas Heart Institute Journal;2012, Vol. 39 Issue 5, p764 

    The article describes the clinical case of a 57-year-old man who complained of acute pulmonary edema and syncope. Medical examinations on the patient revealed moderate-to-severe aortic regurgitation, left ventricular hypertrophy and dilated left atrium. He underwent aortic valve replacement, and...

  • Reexpansion Pulmonary Edema Following Thoracentesis. ALQADI, RASHA; FONSECA-VALENCIA, CAROLINA; VISCUSI, MICHAEL; LATIF, SYED R. // Rhode Island Medical Journal;Sep2013, Vol. 96 Issue 9, p38 

    The article discusses the medical condition of reexpansion pulmonary edema following thoracentesis. It states that thoracentesis is a common procedure, which is performed for both diagnostic and therapeutic purposes in human body. It further highlights an instance of 89-year-old man suffering...

  • IMAGES IN CARDIOLOGY: Quadrant pulmonary oedema. Keyser, J. D.; Dujardin, K.; Mullens, W. // Heart;Apr2005, Vol. 91 Issue 4, p540 

    This article presents information on a medical case related to quadrant pulmonary oedema. A 73 year old man presented to the emergency department with a three day history of dyspnoea. He had no past medical history. On admission his blood pressure was 120/80 mmHg, heart rate 120 bpm, and...

  • Blood culture negative endocarditis -- a suggested diagnostic approach. Khan, Sadid F. // Australian Medical Student Journal;2012, Vol. 3 Issue 2, p54 

    This case report describes a previously healthy male patient with a subacute presentation of severe constitutional symptoms, progressing to acute pulmonary oedema, and a subsequent diagnosis of blood culture negative endocarditis with severe aortic regurgitation. Blood culture negative...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics