A Case of a 48 year old female who presented with acute aortic occlusion in the setting of takayasu arteritis / (Record no. 11044)

MARC details
000 -LEADER
fixed length control field 03167nam a22002417a 4500
003 - CONTROL NUMBER IDENTIFIER
control field MED20180009
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240720153046.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 180925b xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Transcribing agency FEU-NRMF MEDICAL LIBRARY
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
050 ## - LIBRARY OF CONGRESS CALL NUMBER
Classification number MED20180009
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Pagdagdagan, Lydeleth B., MD.
Relator term author
245 ## - TITLE STATEMENT
Title A Case of a 48 year old female who presented with acute aortic occlusion in the setting of takayasu arteritis /
Statement of responsibility, etc. Lydeleth B. Pagdagdagan.
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Place of publication, distribution, etc. Fairview, Quezon City
Name of publisher, distributor, etc. Department of Medicine, FEU-NRMF,
Date of publication, distribution, etc. 2018
300 ## - PHYSICAL DESCRIPTION
Other physical details illustrations and photos (black and white);
Dimensions (in folder)
336 ## - CONTENT TYPE
Source text
Content type term rdacontent
337 ## - MEDIA TYPE
Source unmediated
Media type term rdamedia
338 ## - CARRIER TYPE
Source volume
Carrier type term rdacarrier
504 ## - BIBLIOGRAPHY, ETC. NOTE
Bibliography, etc Includes bibliographical references.
520 ## - SUMMARY, ETC.
Summary, etc. ABSTRACT: Takayasu arteritis is a rare, chronic large vessel vasculitis of known etiology which predominantly effects women younger than 40 years of age. Symptoms are highly variable based on the location and extent of the stenosis, arterial occlusion, aneurysm, and thrombosis. In patient with Takayasu's arteritis, platelet and coagulation activities are significantly increased, leading to hypercoagulable state and thrombus formation.. It causes extend narrowing of the aorta with symptoms of acute inflammation, aortic coarctation affecting the cardiovascular system. It is therefore considered to be important to perform aggressive immunosuppressive therapy and early revascularization to prevent symptoms and signs related to vascular stenosis and/ occlusion. Takayasu can be life-threatening by an occlusion of the ascending aorta and it's major branches, without any coronary arteries involvement. Acute Aortic Occlusion is rare, emergent vascular event which can arise secondary to the intimal fibrosis, thrombosis and calcifications of Takayasu Arteritis. Apart from constitutional complaints, nearly all patients with TA sooner or later present with symptoms and signs related to vascular stenosis and/or occlusion. They include hypertension with blood pressure differences in the extremities, pulse deficits, bruit, and upper and/or lower extremity claudications. Diagnosis is based on clinical presentation, relevant laboratory work-up, and imaging findings of wall thickening and stenosis of medium and large vessels. Management includes glucocorticoid therapy, frequently paired with adjunctive immunosuppressants, and sometimes surgical intervention in severe cases. Here, we present a unique case of Takayasu arteritis presenting with right upper extremity swelling, with severe narrowing of the brachiocephalic branch and left subclavian artery, near complete occlusion of the left common carotid artery, calcified proximal portions of the aortic arch branches and extensive calcification causing near complete narrowing seen from descending thoracic aortic down to the proximal abdominal aorta (before take off of celiac trunk. Based on our literature review, our article presents a very rare presentation of Acute aortic occlusion secondary from extensive aortic calcifications in Takayasu Arteritis patient .
521 ## - TARGET AUDIENCE NOTE
Target audience note Research - Department of Medicine
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Library of Congress Classification
Koha item type Research
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    Library of Congress Classification     Far Eastern University - Nicanor Reyes Medical Foundation Far Eastern University - Nicanor Reyes Medical Foundation Research 09/25/2018   MED20180009 R000615 09/25/2018 09/25/2018 Research