JAMMU, Oct 17: A very complex stenting procedure was performed on a 40-year-old female patient suffering with heart attack at Ankur Maitrika Hospital, Channi Himmat, Jammu.
The patient, who had suffered a heart attack last year and underwent stenting of her right coronary artery in another center in Jammu, was presented to Ankur Maitrika Hospital with severe exertional chest pain refractory to medical treatment. Dr Syed Maqbool and Dr Nasir Choudhary of Ankur Maitrika Hospital on examination of the patient found that she had very high blood pressure and pulse in her left hand was absent.
In view of her symptoms, a coronary and peripheral angio was done on the same day which revealed 100% blocked subclavian artery (supplying left arm) plus totally blocked artery of right kidney and 90% blocked artery of left kidney. These findings confirmed that it is “Takayasu Arteritis” also known as pulse less disease. The disease was highly active suggested by an ESR of 150 and CRP of more than 26.
The patient was offered a bypass surgery and asked to wait till the disease gets inactive by medications, but she returned back in two days with worsening of symptoms. Dr Syed Maqbool and Dr Nasir Choudhary performed a very complex bifurcation stenting by TAP technique in her left coronary system successfully which was a life saving procedure for her. The patient was discharged next day. Rest of the blockages which are important but not life threatening will be dealt with once the disease becomes fully inactive.
Dr Syed Maqbool said that Takayasu Arteritis is a very rare cause of heart attack and should be suspected in young patients especially females if they have high BP, absent pulses or kidney dysfunction. It rarely involves coronary arteries and can cause heart attacks, he said, adding, although treatment of cardiac diseases has advanced beyond imagination, prevention still remains the cornerstone therapy.