Atypical initial presentation of Takayasu arteritis as isola
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Takayasu arteritis (TA) is a chronic inflammatory vascular disease affecting the aorta, its major branches and pulmonary arteries. TA typically leads to progressive fibrosis in arterial wall resulting in stenosis or occasionally triggers destruction in the arterial media layer that drives aneurysmal change. Isolated focal supra-valvular ascending aortic stenosis is a very rare vascular involvement of TA. Therefore, it can be confused with the non-familial, sporadic type of supra-valvular aortic stenosis. We report an adult female patient treated initially by surgery (Bentall procedure with aortic root augmentation) under the impression of non-familial, sporadic type of supra-valvular aortic stenosis, who was subsequently diagnosed as TA by a meticulous review of medical records and new vascular presentations....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717593/
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