Takayasu's aorto-arteritis: Not your regular lesion for angi
Takayasu's aorto-arteritis (TA) is a chronic, autoimmune, granulomatous, and inflammatory disease of the aorta and its major branches at their origin, which results in dilatation, occlusion, stenosis, and/or aneurysm formation of the affected arteries.

Classical inflammatory markers, such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), reflect the inflammatory processes in most cases of untreated TA.

Percutaneous transluminal balloon angioplasty in children is highly effective and safe in relieving stenosis of the aorta due to aortic arteritis, with marked clinical improvement. Fortunately, arterial dissection is a rare, life-threatening complication.

Published in the journal Annals of Pediatric Cardiology, the authors report a case of a 6-year-old female child with Takayasu's aorto-arteritis (TA) with severe coarctation of the aorta which resulted in an aortic dissection post-ballooning.

This happened despite ensuring that markers for disease activity were negative, with appropriate corticosteroid therapy started before the procedure, and using a low-profile, low-pressure, and slightly undersized balloon for dilating the stenotic segment.

It required immediate endovascular stenting to tide over the crisis. Following the procedure, she became normotensive with well-palpable lower limb pulses.

Read in detail here: https://pxmd.co/89g7S