All issues > Volume 21(10); 1978

Case Report

J Korean Pediatr Soc. 1978;21(10):682-684. Published online October 31, 1978.

A Case of Takayasu's Arteritis with Congestive Heart Failure.

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.

Abstract

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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