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Ann Pediatr Cardiol. 2018 Sep-Dec;11(3):312-314. doi: 10.4103/apc.APC_28_18.

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

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Department of Pediatric Cardiology, SPS Hospitals, Ludhiana, Punjab, India.
Department of Pediatrics, SPS Hospitals, Ludhiana, Punjab, India.
Department of Pediatrics and Pediatric Critical Care, SPS Hospitals, Ludhiana, Punjab, India.
Department of Pediatrics, ESIC Model Hospital, Ludhiana, Punjab, India.


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.


Balloon angioplasty; Takayasu's aorto-arteritis; coarctation of the aorta; coarctation stenting

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