Sudden Cardiac Arrest as the First Manifestation of Takayasu Arteritis

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Author Info

Stephane Manzo-Silberman Alix de Gonneville Martin Nicol Sylvie Meireles Thiziri Simoussi Elise Paven Anne-Claire Desbois David Saadoun Guillaume Lebreton

Corresponding Author

Stephane Manzo-Silberman
Department of Cardiology, Lariboisière Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris University, Paris, France

A B S T R A C T

Management of out-of-hospital cardiac arrest (OHCA) remains challenging, particularly in young patients. Takayasu arteritis is a rare large-vessel vasculitis relatively. Coronary involvement has been previously described; we provided the first intracoronary images by OCT. We report the first case of OHCA with shockable rhythm revealing chronic total occlusion of the left main in a 41-year-old lady. The coronary anomaly made it possible to diagnose the vasculitis and to treat it by corticosteroid and immunosuppressive treatment. Vasculitis should be evoked in atypical coronary syndrome in young patients. A collaborative multidisciplinary approach permits optimal care for this complex patient.

Article Info

Article Type

Case Report

Publication history

Received: Thu 12, Nov 2020
Accepted: Fri 27, Nov 2020
Published: Thu 10, Dec 2020

Copyright

© 2023 Stephane Manzo-Silberman. 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. Hosting by Science Repository.
DOI: 10.31487/j.JICOA.2020.06.02