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Takayasu's aorto-arteritis: Not your regular lesion for angioplasty


1 Department of Pediatric Cardiology, SPS Hospitals, Ludhiana, Punjab, India
2 Department of Pediatrics, SPS Hospitals, Ludhiana, Punjab, India
3 Department of Pediatrics and Pediatric Critical Care, SPS Hospitals, Ludhiana, Punjab, India
4 Department of Pediatrics, ESIC Model Hospital, Ludhiana, Punjab, India

Correspondence Address:
Dr. Navdeep Singh
5-GF, Hig Flats, Rajguru Nagar, Ludhiana - 141 012, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_28_18

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Year : 2018  |  Volume : 11  |  Issue : 3  |  Page : 312-314

 

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We 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.






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1 Department of Pediatric Cardiology, SPS Hospitals, Ludhiana, Punjab, India
2 Department of Pediatrics, SPS Hospitals, Ludhiana, Punjab, India
3 Department of Pediatrics and Pediatric Critical Care, SPS Hospitals, Ludhiana, Punjab, India
4 Department of Pediatrics, ESIC Model Hospital, Ludhiana, Punjab, India

Correspondence Address:
Dr. Navdeep Singh
5-GF, Hig Flats, Rajguru Nagar, Ludhiana - 141 012, Punjab
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_28_18

Rights and Permissions

We 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.






[FULL TEXT] [PDF]*


        
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