RT Journal Article SR Electronic T1 Atypical cause of hibernating myocardium due to complex cardiovascular lesions associated with Takayasu’s arteritis JF Heart JO Heart FD BMJ Publishing Group Ltd and British Cardiovascular Society SP e43 OP e43 DO 10.1136/hrt.2004.036830 VO 90 IS 7 A1 Nakajima, M A1 Tsuchiya, K A1 Obata, J YR 2004 UL http://heart.bmj.com/content/90/7/e43.abstract AB 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.