CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2025; 35(01): 178-183
DOI: 10.1055/s-0044-1788576
Case Series

Rare Presentations of Takayasu Arteritis: A Case Series

1   Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Sedhupathi Shanmugam
1   Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Swasthi S. Kumar
1   Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Narayanan Namboodiri
1   Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
2   Department of Imaging Sciences and Intervention Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Shivanesan Pitchai
3   Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
› Author Affiliations
Funding None.

Abstract

Takayasu arteritis (TA) is a form of large vessel vasculitis that may lead to fibrosis, stenosis, or aneurysm formation of vessels. Its presentation varies depending on the arterial beds involved. We report 3 cases out of around 150 cases of TA with rare initial presentations of brachial plexopathy caused by an axillary artery aneurysm, complicated type A intramural hematoma, and renal artery aneurysms along with abdominothoracic TA presenting as a pulsatile abdominal mass.

Authors' Contributions

S.M. and S.S. contributed to conceptualization; formal analysis; writing—original draft; and writing—review and editing). S.S.K. contributed to conceptualization; investigation; and supervision. N.N., J.R., and S.P. contributed to conceptualization; formal analysis; and writing—review and editing.




Publication History

Article published online:
09 August 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Ishikawa K. Diagnostic approach and proposed criteria for the clinical diagnosis of Takayasu's arteriopathy. J Am Coll Cardiol 1988; 12 (04) 964-972
  • 2 Sharma BK, Jain S, Suri S, Numano F. Diagnostic criteria for Takayasu arteritis. Int J Cardiol 1996; 54: S141-S147
  • 3 Jennette JC, Falk RJ, Bacon PA. et al. 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheum 2013; 65 (01) 1-11
  • 4 Mondal S, Raj RR, Gaddamedi SK. Young adult with left ventricular dysfunction. Heart 2024; 110 (05) 322-384
  • 5 Kumar SS, Mondal S, Sasidharan B, Radhakrishnan J. Left ventricular outflow tract aneurysm to aortic sinus fistula in Takayasu arteritis. IHJ Cardiovasc Rep 2024; 8 (01) 14-17
  • 6 Moriwaki R, Noda M, Yajima M, Sharma BK, Numano F. Clinical manifestations of Takayasu arteritis in India and Japan–new classification of angiographic findings. Angiology 1997; 48 (05) 369-379
  • 7 Subramanyan R, Joy J, Balakrishnan KG. Natural history of aortoarteritis (Takayasu's disease). Circulation 1989; 80 (03) 429-437
  • 8 Kim D, Roche-Nagle G. Axillary artery aneurysm combined with brachial plexus palsy due to Takayasu arteritis. BMJ Case Rep 2018; 2018 bcr2017221863
  • 9 Rocha LK, Romitti R, Shinjo S, Neto ML, Carvalho J, Criado PR. Cutaneous manifestations and comorbidities in 60 cases of Takayasu arteritis. J Rheumatol 2013; 40 (05) 734-738
  • 10 Wu XP, Zhu P. Clinical features of aortic dissection associated with Takayasu's arteritis. J Geriatr Cardiol 2017; 14 (07) 485-487
  • 11 Sharma BK, Jain S, Radotra BD. An autopsy study of Takayasu arteritis in India. Int J Cardiol 1998; 66 (Suppl. 01) S85-S90 , discussion S91
  • 12 Marla R, Migrino R, Osipov V, Lilly RE. Takayasu arteritis presenting as type A intramural hematoma–an unusual presentation. Int J Cardiol 2010; 145 (01) e30-e32
  • 13 Chow SCY, Wong RHL, Lakhani I. et al. Management of acute type A intramural hematoma: upfront surgery or individualized approach? A retrospective analysis and meta-analysis. J Thorac Dis 2020; 12 (03) 680-689
  • 14 Wang J, Li C, Zheng Y. et al. Multiple aneurysms of the subclavian-axillary, abdominal aortoiliac, lower extremity, and coronary arteries in a pediatric patient of Takayasu arteritis. Ann Vasc Surg 2022; 81: 387.e1-387.e8
  • 15 Thakare DR, Mishra P, Rathore U. et al. Renal artery involvement is associated with increased morbidity but not mortality in Takayasu arteritis: a matched cohort study of 215 patients. Clin Rheumatol 2024; 43 (01) 67-80
  • 16 Matsubara K, Matsumoto K, Kameyama K, Obara H, Kitajima M. Large renal artery aneurysm in Takayasu arteritis. J Vasc Surg 2006; 44 (05) 1107-1109
  • 17 Matsumura K, Hirano T, Takeda K. et al. Incidence of aneurysms in Takayasu's arteritis. Angiology 1991; 42 (04) 308-315