CASE REPORT

Atypical cause of hibernating myocardium due to complex cardiovascular lesions associated with Takayasu’s arteritis

M Nakajima¹, K Tsuchiya¹, J Obata²

¹ Department of Cardiovascular Surgery, Yamanashi Central Hospital, Yamanashi, Japan
² Department of Cardiology, Yamanashi Central Hospital

Correspondence to:
Correspondence to:
Dr M Nakajima
Department of Cardiovascular Surgery, Yamanashi Central Hospital, 1-1-1 Fujimi, Kofu city, Yamanashi, Japan 400-0027; m-nakajima2a{at}ych.pref.yamanashi.jp

Myocardial hibernation is recognised as chronic hypoperfusion of the myocardium and its functional recovery after surgical revascularisation has been described. A case of surgery for complex lesions including severe aortic valve regurgitation, coronary ostial stenosis, and aortic calcification (porcelain aorta) caused by Takayasu’s arteritis is presented. The onset of left ventricular functional improvement after aortic valve replacement and coronary revascularisation were indicative of preoperative atypical myocardial hibernation caused by aortic valve disease and coronary artery disease associated with Takayasu’s arteritis.

Keywords: Takayasu’s arteritis; hibernating myocardium

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