Volume 12

Number 1 January 2009

Role of 3D CT and CT Angiogram in Takayasu Aortitis (TA) of Descending Thoracic Aorta : A Case Report

DOI:

Islam M T1 , Haque Md. O2 , Islam Md. N3 , Haque R4

Abstract

A 35 year old female presented with hypertension, chest and neck pain with tenderness especially towards bank for several months. Pulling of face to the right, sweating of hands and lower abdomen, palpitation, joint stiffiless were arm% other symptoms. She was suffering from occasional dyspnoea and exertional fatigue. On examination, she was found to have anaemia. hypertension, and systolic nnernme ECG was within normal limit and first echocardiography revealed an extra cardiac turbulence right to the right ventricular apex with the flow pattern suggestive of coronary artery fistula or AV malformation. She was sent for cardiac CT and CT angiogran. The result was excellent; 31) CT and CT angiogram clearly revealed a large segmental .severe smooth narrowing of her descending thoracic aorta. The intra.shoracic collateral arteries were found markedly dilated (minding the internal mammary arteries. No VSD or coronary or AV fistula was detected. Cardiac CT also revealed moderate calcium into her heart pericardium and coronary arteries. Tice patient fidfilled the obligatory criteria and five minor criteria far diagnosis of Takayasit aonitis.

Keywords:


  1. Associate professor, Department of Radivlugy & Imaging

    Holy Family Red Crescent Medical College, Dhaka

  2. Associate professor. Department of Cardiology

    Holy Family Red Crescent Medical College, Dhaka

  3. Senior Consultant. Department of Cardiology

    Holy Family Red Crescent Medical College, Dhaka

  4. Professor, Department of Paediatrics

    Holy Family Red Crescent Medical College, Dhaka

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Volume 12, Number 1 January 2009
Page: 31-35