An unusual collateral from the sinoatrial nodal artery to the left carotid artery in a patient with Takayasu arteritis

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An unusual collateral from the sinoatrial nodal artery to the left carotid artery in a patient with Takayasu arteritis: a case report. / Beijk, Marcel A.; Planken, R. Nils.
In: Journal of medical case reports, Vol. 17, No. 1, 20, 01.12.2023.

Research output: Contribution to journal › Article › Academic › peer-review

BibTeX

@article{18452fdb0505498cabc4ef270ee25b7a,

title = "An unusual collateral from the sinoatrial nodal artery to the left carotid artery in a patient with Takayasu arteritis: a case report",

abstract = "Background: Takayasu arteritis is a noninfective chronic vasculitis mainly involving the aorta and its main branches. The presentation of the disease is heterogeneous, ranging from asymptomatic to catastrophic illness. Case presentation: A 52-year-old Caucasian woman with known Takayasu arteritis was referred to our hospital as she suffered symptoms suspicious for cerebral hypoperfusion. Computed tomography thorax angiography revealed occlusion of all aortic arch arteries and previous surgical bypasses. Cerebral perfusion depended on a few collaterals (from the distal common carotid artery to the right internal carotid artery and from the left and right internal mammary artery and the dorsal thoracic branches to both vertebral arteries). In addition, preoperative coronary angiography revealed an unusual and large collateral arising from the sinoatrial nodal artery to the left carotid artery. Conclusion: Takayasu arteritis is a relatively rare disease, with various and sometimes devastating neurological manifestations due to occlusion of the aortic arch branches. Our case highlights the importance of a thorough preoperative evaluation in search of collateral supply in symptomatic patients with Takayasu arteritis.",

keywords = "Case report, Collateral, Coronary angiography, Sinoatrial nodal artery, Takayasu arteritis",

author = "Beijk, {Marcel A.} and Planken, {R. Nils}",

note = "Funding Information: We thank the patient for providing consent to publish this case report. Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

month = dec,

day = "1",

doi = "10.1186/s13256-023-03752-0",

language = "English",

volume = "17",

journal = "Journal of medical case reports",

issn = "1752-1947",

publisher = "BioMed Central",

number = "1",

}

RIS

TY - JOUR

T1 - An unusual collateral from the sinoatrial nodal artery to the left carotid artery in a patient with Takayasu arteritis

T2 - a case report

AU - Beijk, Marcel A.

AU - Planken, R. Nils

PY - 2023/12/1

Y1 - 2023/12/1

N2 - Background: Takayasu arteritis is a noninfective chronic vasculitis mainly involving the aorta and its main branches. The presentation of the disease is heterogeneous, ranging from asymptomatic to catastrophic illness. Case presentation: A 52-year-old Caucasian woman with known Takayasu arteritis was referred to our hospital as she suffered symptoms suspicious for cerebral hypoperfusion. Computed tomography thorax angiography revealed occlusion of all aortic arch arteries and previous surgical bypasses. Cerebral perfusion depended on a few collaterals (from the distal common carotid artery to the right internal carotid artery and from the left and right internal mammary artery and the dorsal thoracic branches to both vertebral arteries). In addition, preoperative coronary angiography revealed an unusual and large collateral arising from the sinoatrial nodal artery to the left carotid artery. Conclusion: Takayasu arteritis is a relatively rare disease, with various and sometimes devastating neurological manifestations due to occlusion of the aortic arch branches. Our case highlights the importance of a thorough preoperative evaluation in search of collateral supply in symptomatic patients with Takayasu arteritis.

AB - Background: Takayasu arteritis is a noninfective chronic vasculitis mainly involving the aorta and its main branches. The presentation of the disease is heterogeneous, ranging from asymptomatic to catastrophic illness. Case presentation: A 52-year-old Caucasian woman with known Takayasu arteritis was referred to our hospital as she suffered symptoms suspicious for cerebral hypoperfusion. Computed tomography thorax angiography revealed occlusion of all aortic arch arteries and previous surgical bypasses. Cerebral perfusion depended on a few collaterals (from the distal common carotid artery to the right internal carotid artery and from the left and right internal mammary artery and the dorsal thoracic branches to both vertebral arteries). In addition, preoperative coronary angiography revealed an unusual and large collateral arising from the sinoatrial nodal artery to the left carotid artery. Conclusion: Takayasu arteritis is a relatively rare disease, with various and sometimes devastating neurological manifestations due to occlusion of the aortic arch branches. Our case highlights the importance of a thorough preoperative evaluation in search of collateral supply in symptomatic patients with Takayasu arteritis.

KW - Case report

KW - Collateral

KW - Coronary angiography

KW - Sinoatrial nodal artery

KW - Takayasu arteritis

UR - http://www.scopus.com/inward/record.url?scp=85146686723&partnerID=8YFLogxK

U2 - 10.1186/s13256-023-03752-0

DO - 10.1186/s13256-023-03752-0

M3 - Article

C2 - 36670461

VL - 17

JO - Journal of medical case reports

JF - Journal of medical case reports

SN - 1752-1947

IS - 1

M1 - 20

ER -

ID: 32161447

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An unusual collateral from the sinoatrial nodal artery to the left carotid artery in a patient with Takayasu arteritis: a case report

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