| A Case of Takayasu's Arteritis with Congestive Heart Failure. |
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Yo Joong Kim1, Sang Min Seong1, Kyung Tai Whang1, Sung Hoon Cho1, Kyung Sub Shinn2 |
1Department of Pediatrics, Catholic Medical College, Seoul, Korea.
2Department of Radiology, Catholic Medical College, Seoul, Korea. |
| 心不全아 同伴된 Takayasu 動脈炎의 1例 |
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金堯中1, 成相珉1, 黃京泰1, 趙聖勤1, 辛環變2 |
1가톨릭 醫科大學 小兒科學敎室
2가톨릭 醫科大學 放射線科學敎室 |
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| Abstract |
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A 38 month old girl was admitted with the episode of anorexia, coughing and dyspnea to St. Mary's hospital on Nov. 9, 1977. She had treated as hepatitis at private clinic for one month before admission, however these symptoms were aggrevated with coughing and progressed dyspnea since a week ago. On physical examination, body temperature 36.8C, body weight 11.7kg, heart rate 150/min, BP 130/110mmHg at right arm, 160/90mmHg at left arm and 100/90mmHg at both legs were noted. The right radial pulse was palpated weakly compare to the left radial and both femoral pulses, which were also weak and bruit were heard on the both right carotid artery and abdominal aorta. On cardiac ausculation, no significant murmur was heard except gallop rhythm. The ECG and chest X-ray revealed the left ventricular enlargement and grade I K-W hypertensive retinopathy was found by fundoscopy. On selective left angiographic study mitral regurgitation(grade IV) was proved, and localized obliteration of the right subclavian artery and left carotid artery and diffuse constrictive narrowing of the thoracic and abdominal aorta at the level from D7 to suprarenal(type III) were seen by sequential ascending and abdominal aortorgaphy. The infrarenal abdominal aorta was also hypoplastic. Tuberculin skin test was strongly positive, and VDRL and LE preparation were negative. |
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