Author/Authors :
Gümüşçü, Feyzullah Dicle Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi AD, Türkiye , Benli, Emre Demir Dicle Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi AD, Türkiye , Demirtaş, Sinan Dicle Üniversitesi - Tıp Fakültesi - Kalp Damar Cerrahisi Anabilim Dalı, Türkiye , Karahan, Oğuz Dicle Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi, Türkiye
Abstract :
Takayasu’s arteritis also known as pulseless disease is a kind of granulomatous vasculitis that characterized large size vessels involvement with massive intimal fibrosis. It is usually occurs in female gender in middle ages. Unusual Takayasu’s arteritis case with different clinical presentation was reported in current paper. A 42 years old male patient was admitted to cardiovascular surgery clinic with sudden onset cyanosis in first finger of right hand. There was not any finding or complaint in his past medical history. The right brachial, radial and ulnar pulses were not palpable in physical examination and blood pressure could not measured from this extremity. Bilateral upper limb arterial doppler ultrasound revealed minimal flow in right and disrupted biphasic flow pattern in left. Peripheral angiography revealed total occlusion after the osteal segment of right subclavian artery, pre-occlusive stenosis in proximal segment of left subclavian artery and total occlusion in abdominal aorta just prior the iliac bifurcation. There was no serological or biochemical positivity in blood parameters and no additional visualization finding. Antiaggregant, anticoagulant and intravenous peripheral vasodilator therapy was utilized to patient for finger cyanosis. Patient was discharged with full recovery of finger coloration and referred to rheumatology clinic for further investigation. Microembolism may be messenger of wide-spread vascular disorders for example vasculitis. Thus, detailed systemic examinations should be applied in patients who admitted with micro-circulatory system symptoms.
