Marina Kuparadze^1,2, Natalia Garuchava¹, Gigi Gorgadze¹*, Nika Ichkiti¹ and Giorgi Zhorzholiani¹

¹ Tbilisi State Medical University, Georgia
²Cardiology Clinic “Guli”, Georgia

*Corresponding Author: Gigi Gorgadze, Tbilisi State Medical University, Georgia.

Received: March 10, 2025; Published: March 24, 2025

Abstract

Takayasu’s arteritis (TA) is a condition similar to other forms of vasculitis, such as giant cell arteritis, which predominantly occurs in older adults. TA may present as a pulseless disease. This article describes a clinical case of TA in an 80-year-old woman who has been under observation since 2020.
The patient came to the clinic with the following complaints: chest pain behind the sternum radiating to the left shoulder, dry cough, shortness of breath, and mild ataxia. Echocardiography was performed, which showed moderate dilatation of the left ven tricle, calcification of the aortic annulus and mitral valve semilunar cusps, and moderate hypertrophy of the left ventricle. Additional studies were prescribed. Dopplerography showed left ventricular diastolic dysfunction, aortic and mitral valve regur gitation, and cor pulmonale with pulmonary hypertension. On the X-ray, the bronchovascular pattern of the lungs was enhanced, the right sinus was not illuminated, and the left was free. On the ECG, depression of the T and ST segments was pronounced without acute damage. As a result of ultrasonographic and angiological examinations, a diagnosis of TA was made, complicated by a myocardial infarction.
Appropriate treatment with methotrexate was performed, accompanied by corticosteroids, namely prednisolone.
In order to prevent complications, monitoring has been carried out for four years. At this stage, the disease is not progressing. No additional complications have occurred. This clinical case is interesting both in terms of the course of the disease and its manage ment

Keywords: Takayasu’s Arteritis (TA); Myocardial Infarction (MI)

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Citation

Citation: Gigi Gorgadze., et al. “Takayasu's Arteritis Complicated with Myocardial Infarction in an Elderly Patient: A Rare Case Report". Acta Scientific Paediatrics 8.3 (2025): 28-35.

Copyright

Copyright: © 2025 Gigi Gorgadze., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.