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CASE REPORT
Korean J Pediatr 2012 July;55(7) :254-258.
Published online 2012 July 15.        doi:https://doi.org/10.3345/kjp.2012.55.7.254
Aortic valve replacement surgery for a case of infantile Takayasu arteritis
Hye Won Kwon (Kwon HW)1, Yoon Jung Suh (Suh YJ)1, Ji Seok Bang (Bang JS)1, Bo Sang Kwon (Kwon BS)1, Gi Beom Kim (Kim GB)1, Eun Jung Bae (Bae EJ)1, Woong Han Kim (Kim WH)2, Chung Il Noh (Noh CI)1
1Department of Pediatrics, Seoul National University Children¡¯s Hospital, Seoul, Korea
2Department of Thoracic and Cardiovascular Surgery, Seoul National University Children¡¯s Hospital, Seoul, Korea
Corresponding Author: Eun Jung Bae ,Tel: +82-2-2072-3097, Fax: +82-2-743-3455, Email: eunjbaek@snu.ac.kr
Copyright © 2012 by The Korean Pediatric Society
ABSTRACT
Takayasu arteritis is a chronic inflammatory disease of unknown etiology primarily affecting the aorta and its major branches and usually occurring in the second or third decade of life. Here, we report a case of Takayasu arteritis in a 10-month-old patient. The infant presented with signs of congestive heart failure and severe aortic regurgitation. Echocardiography and computed tomography angiography showed an abnormally dilated thoracic and abdominal aorta. The infant was initially treated with prednisolone, followed by commissuroplasty of the aortic valve but neither approach ameliorated the heart failure. The patient was eventually treated with a mechanical aortic valve replacement surgery at the age of 12 months, and her condition stabilized. Although unusual, this case indicates that the diagnosis of Takayasu arteritis should be considered in children with unexplained systemic symptoms, aortic valve regurgitation, and heart failure. Because severe aortic regurgitation may be a fatal complication of Takayasu arteritis, early aortic valve replacement surgery should be considered, even in very young children.
Keywords: Aortic valve insufficiency | Takayasu arteritis
 
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