Role of cardiovascular echo in patients with Takayasu arteritis
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Takayasu arteritis is an important differential diagnosis in young female patients presenting with fever, fatigue, hypertension, and/or neck pain.
Aortic arch branch vessels are frequently affected and the carotid artery can have diffuse, homogeneous wall thickening, known as the ‘macaroni sign’. The descending aorta can be stenotic with ‘pseudo-coarctation’.
Cardiovascular echo plays an important role in the screening and characterization of arterial lesions in patients with Takayasu arteritis.
KeywordsCardiovascular echo Takayasu arteritis Aorta Carotid artery
Conflict of interest
Kazuhiro Nishigami has received honoraria of $1000 or less as a lecture fee from the following companies: Astellas Pharma Inc., AstraZeneca K.K., Bayer Yakuhin Ltd., Boehringer Ingelheim Japan Inc., Kowa Pharmaceutical Co., Ltd., MSD K.K., Shionogi & Co., Ltd., Novartis Pharma K.K., Tanabemitsubishi Pharmaceutical Co., Ltd. and Takeda Pharmaceutical Co., Ltd.
Supplementary material 1 (AVI 1140 kb). Movie A. Long-axis 2-dimensional image of the descending aorta showing diffuse stenosis of the aorta dorsal to the heart
Supplementary material 1 (AVI 4001 kb). Movie C. Longitudinal image of the common carotid artery showing that the thickened wall shuffles forward
Supplementary material 1 (AVI 774 kb). Movie D. Color Doppler image in the long-axis of the left ventricle showing aortic regurgitation
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