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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.

Author information

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.

Abstract

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.

KEYWORDS:

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

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