{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:33:27Z","timestamp":1787016807392,"version":"build-2736575974"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,10]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Takayasu\u2019s arteritis (TA) is a vasculitis with a predilection for young women. Left ventricular pseudoaneurysm (PSA) in TA is a rare phenomenon. We report a 36\u2009years old Filipina who presented with heart failure symptoms. Years prior, she had a recurrent fever, headache, myalgia and left arm claudication. On workup, a 2D echo revealed a left ventricular PSA with mural thrombus and moderate mitral regurgitation. Cardiac MRI further characterised the PSA with a sac diameter of 8\u00d77.5\u00d78.4\u2009cm (CC\u00d7T\u00d7AP). Carotid Duplex Scan revealed total occlusion of the mid to distal right common carotid artery and left subclavian artery. She was started on immunosuppresants and guideline-directed medical therapy (GDMT) for heart failure and subsequently underwent successful endoventricular patch closure and mitral valve repair. This case highlights the importance of actively searching for cardiac complications of TA which although very rare, can dominate the clinical picture and may carry a dismal prognosis if left untreated.<\/jats:p>","DOI":"10.1136\/bcr-2020-237700","type":"journal-article","created":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T18:21:08Z","timestamp":1610475668000},"page":"e237700","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Takayasu\u2019s arteritis with giant left ventricular pseudoaneurysm presenting as heart failure"],"prefix":"10.1136","volume":"14","author":[{"given":"Frederick Berro","family":"Rivera","sequence":"first","affiliation":[{"name":"Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecileen Anne M","family":"Tuazon","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie R","family":"Ramiro","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Teresa","family":"Abola","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,11]]},"reference":[{"key":"2025082709435813000_14.1.e237700.1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.043984"},{"key":"2025082709435813000_14.1.e237700.2","first-page":"C161","article-title":"Ruptured idiopathic left ventricular false aneurysm of the free wall associated with Takayasu's arteritis in a young child","volume":"87 Suppl 3","author":"Rose","year":"1997","journal-title":"S Afr Med J"},{"key":"2025082709435813000_14.1.e237700.3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(91)90285-P"},{"key":"2025082709435813000_14.1.e237700.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.01.094"},{"key":"2025082709435813000_14.1.e237700.5","first-page":"386","article-title":"AL'atteinte coronarienne dans la maladie de Takayasu. A propos de 3 cas dont 2 op\u00e9r\u00e9s et revue de la litt\u00e9rature [Coronary involvement in Takayasu\u2019s disease. Apropos of 3 cases, of which 2 were surgically treated, and review of the literature]","volume":"77","author":"Thomas","year":"1984","journal-title":"Arch Mal Coeur Vaiss"},{"key":"2025082709435813000_14.1.e237700.6","first-page":"489","article-title":"Myocardiopathie et maladie de Takayasu. A propos d'une observation [Myocardiopathy and Takayasu\u2019s disease. Apropos of a case]","volume":"34","author":"Gay","year":"1985","journal-title":"Ann Cardiol Angeiol"},{"key":"2025082709435813000_14.1.e237700.7","first-page":"441","article-title":"Da\u00f1o card\u00edaco en la arteritis de Takayasu. Estudio en 125 pacientes [Cardiac damage in Takayasu\u2019s arteritis. Study in 125 patients]","volume":"53","author":"Orea Tejada","year":"1983","journal-title":"Arch Inst Cardiol Mex"},{"key":"2025082709435813000_14.1.e237700.8","unstructured":"Gao N , WP C , Tian CY , et al . Zhonghua Yi Xue Za Zhi 2016;96:2138\u201341."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237700","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:44:01Z","timestamp":1756313041000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237700"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,11]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-237700"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237700","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}