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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406 EISSN: 1018-4406
Vol. 18, No. 4, 2008, pp. 364-368
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Bioline Code: pe08058
Full paper language: English
Document type: Case Report
Document available free of charge
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Iranian Journal of Pediatrics, Vol. 18, No. 4, 2008, pp. 364-368
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Extensive Myocardial Infarction in a Child with Takayasu Vasculitis: Report of a Case and Literature Review
Otukesh, Hassan; Fereshtehnejad, Seyed-Mohammad; Hoseini, Rozita; Zabihi, Azita; Tafreshi, Roya & Hallaji, Farideh
Abstract
Objective:
Takayasu arteritis (TA) is an inflammatory arteritis involving large vessels, predominantly the aorta and its main branches. Angina pectoris or myocardial infarction may occur in 3-5% of patients due to coronary artery ostial narrowing from aortitis or coronary arteritis.
Case presentation:
We describe the case of an 11-year boy presented with hypertension and severe abdominal pain. After treatment he developed extensive myocardial infarction and died.
Conclusion:
Takayasu's disease should figure prominently amongst the causes of coronary artery disease in children and coronary arteriography should be undertaken more often during investigation of the arterial lesions of these patients.
Keywords
Takayasu; Vasculitis; Myocardial infarction;Coronary arteritis
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