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Karthik Vaidyanathan
Kotturathu Mammen Cherian
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Ann Thorac Surg 2007;83:1876-1878
© 2007 The Society of Thoracic Surgeons

Case Reports

Takayasu’s Arteritis Mimicking Acute Aortic Dissection

Sanjay Theodore, MCh*, Karthik Vaidyanathan, MS, Byalal Raghavendrarao Jagannath, DNB, MadhuSankar Nainar, DNB, Jaishankar Krishnamoorthy, DM, Kotturathu Mammen Cherian, FRACS

Department of Thoracic and Cardiovascular Surgery, Frontier Lifeline, Dr KM Cherian Heart Foundation, Mogappair, Chennai, India

Accepted for publication November 13, 2006.

* Address correspondence to Dr Theodore, Frontier Lifeline Ltd, Dr KM Cherian Heart Foundation, R-30C Ambattur Industrial Estate Rd, Mogappair, Chennai 600 101 India (Email: sanjayawake{at}gmail.com).

A 17-year-old girl presented with a history of dyspnea on exertion and fever of 1-week duration. She was evaluated elsewhere with transesophageal echocardiography and helical computed tomographic scan, and she had been diagnosed with an acute type I dissection of the aorta. She had also been diagnosed with severe aortic regurgitation and a suspected aortic root abscess. On the operating table, we found no evidence of dissection, but we did find that her aorta was severely thickened and inflamed. The patient’s aortic valve was replaced. In view of the left main stem ostial stenosis, we harvested and grafted the left internal thoracic artery to the left anterior descending artery. During the operation it is of paramount importance to rule out dissections involving the arch and coronary ostial narrowing.






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