To use a minimally invasive approach to obtain biopsy specimens of the aorta to confirm the diagnosis of Takayasu arteritis and formulate a therapeutic plan.
Case Report:
A 17-year-old woman with lower extremity claudication and a normal erythrocyte sedimentation rate had magnetic resonance angiography, which suggested stenotic lesions of the infrarenal aorta and left renal artery. An endovascular biopsy of the aortic lesion was performed under local anesthesia, retrieving sufficient tissue to make the diagnosis of Takayasu arteritis. The patient was discharged the same day.
Conclusions:
Endovascular aortic biopsy may be useful in diagnosing Takayasu arteritis and guiding the clinician toward the proper mode of treatment.
ProcterCDHollierLH. Takayasu's arteritis and temporal arteritis. Ann Vasc Surg.1992;6:195–198.
2.
HallSBarrWLieJT. Takayasu's arteritis. A study of 32 North American patients. Medicine. 1985;64:89–99.
3.
Lupi-HerreraESanchez-TorresGMarcushamerJ. Takayasu's arteritis. Clinical study of 107 cases. Am Heart J.1977;93:94–103.
4.
KerrGSHallahanCWGiordanoJ. Takayasu's arteritis. Ann Intern Med.1994;120:919–929.
5.
WeaverFAYellinAECampenDH. Surgical procedures in the management of Takayasu's arteritis. J Vasc Surg.1990;12:429–439.
6.
SharmaBKJainSSuriS. Diagnostic criteria for Takayasu's arteritis. Int J Cardiol. 1996;54(suppl):S141–S147.
7.
PajariRHekaliPHarjolaPT. Treatment of Takayasu's arteritis: an analysis of 29 operated patients. Thorac Cardiovasc Surg.1986;34:176–181.
8.
ChoeYHKimDKKohEM. Takayasu's arteritis: diagnosis with MR imaging and MR angiography in acute and chronic active stages. J Magn Reson Imaging. 1999;10:751–757.
MatsunagaNHayashiKSakamotoI. Takayasu's arteritis: MR manifestations and diagnosis of acute and chronic phase. J Magn Reson Imaging. 1998;8:406–414.
11.
ItazawaTNoguchiKIchidaF. Magnetic resonance imaging for early detection of Takayasu arteritis. Pediatr Cardiol. 2001;22:163–164.
12.
FragaAMintzGValleL. Takayasu's arteritis: frequency of systemic manifestations (study of 22 patients) and favorable response to maintenance steroid therapy with adrenocorticosteroids (12 patients). Arthritis Rheum. 1972;15:617–624.
