Coronary-to-Coronary Bypass Grafting in Aortoarteritis: A Case Report

Authors

Immaneni Sathyamurthy
Narra Lavanya
Kanthallu Narayanamoorthy Srinivasan
Maligail Ramkrishna Girinath

Publication Date

9-1-2022

Journal

Indian Journal of Thoracic and Cardiovascular Surgery

Abstract

Takayasu's arteritis (TA) is an idiopathic vasculitis affecting the aorta and its major branches. In TA, coronary artery involvement is rare and it mainly consists of stenosis or occlusion of the coronary ostia. In TA, as the arterial tree is diseased, often, arterial grafts are unsuitable for grafting so the saphenous vein grafts (SVG) are commonly used. We present a case of a young female with TA with an ostial left main stenosis who has undergone a right coronary-to-left anterior descending artery SVG and put on immunosuppression and steroids. She was asymptomatic with a patent graft during 7 years follow-up.

Keywords

Takayasu’s arteritis, Chronic vasculitis