An 11-year-old girl with Takayasu arteritis was presented with recurrent chest pain. A transthoracic echocardiogram showed moderate to severe aortic regurgitation with impaired cardiac function. Cardiac catheterization revealed the total occlusion of the small right coronary artery and left main stenosis of 40%. An intraoperative transesophageal echocardiogram showed a redundant intimal fold partially covering the left coronary ostium and this was further confirmed from the intraoperative finding. This is a case report of recurrent angina associated with obstruction of left main coronary artery orifice by an intimal fold secondary to Takayasu arteritis.
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Nakao, M., Ong, K., Lim, Y. et al. Aortic Intimal Fold in Takayasu Arteritis Causing Obstruction of Left Coronary Ostium. Pediatr Cardiol 32, 990–992 (2011). https://doi.org/10.1007/s00246-011-0023-8
- Intimal fold
- Takayasu arteritis
- Coronary obstruction