Skip to main content
. 2019 Aug 15;15:317–353. doi: 10.2147/VHRM.S182450

Table 2.

Data summary of patients with TAO and coronary arteries involvement

No Year Authors The number of patients Age Chief complaint Duration of disease (amputation) Smoking status How to diagnose the current disease Suggested treatment The outcome of treatment
1 2018 Tekin et al (Turkey)35 1 45 years Acute chest pain TAO diagnosis 2 years earlier 25 pack/year Angiography coronary dissection in LAD Bypass surgery using saphenous vein Recovery no data about further follow-up
2 2016 Atay et al (Turkey)36 1 26 years Chest pain
and myocardial infarction two times in 1 year
TAO diagnosis before the chest pain confirmed by angiography Unknown Coronary angiography 70% stenosis of LAD Angioplasty with drug-induced stent
Balloon angioplasty for in-stent thrombosis and thrombolytic therapy
Cilostazol
Stent thrombosis 5 months later
No more data about the condition of the patient after balloon angioplasty and receiving Cilostazol
3 2013 Mitropoulos et al (Greece)37 1 52 years Myocardial infarction TAO diagnosis 25 years earlier
One BK and several minor amputations
Heavy smoker CT angiography 80–90% stenosis of LAD Bypass surgery Recovery and improved ejection fraction after one year follow-up
4 2013 Akyuz et al (Turkey)38 1 43 years Onset of severe chest pain and loss of consciousness due to inferior and right myocardial infarction TAO diagnosis 5 years earlier Unknown Coronary angiography showed total occlusion of mid-portion LAD and proximal RCA without any flow Unsuccessful endovascular procedure and because of unstable hemodynamic could not be candidate for bypass surgery
Tissue plasminogen activator (tPA) and glycoprotein IIb/IIIa inhibitor
Recovery
No data about further follow-up
5 2007 Hsu et al (Taiwan)39 1 32 years Acute chest tingling for 2 hrs with V1-V6 ST elevation which recovered spontaneously.
Also frequent episodes of accelerated idioventricular rhythm
Previous TAO diagnosis with angiography confirmation Unknown Coronary angiography 90% stenosis of proximal LAD Stent implantation Recovery
No data about further follow-up
6 2007 Abe et al (Japan)40 1 38 years Unknown but coronary angiography was performed during the hospital admission of the patient for ischemic leg pain at rest TAO diagnosis 13 years earlier Unknown Coronary angiography complete occlusion of the middle segment of LAD and corkscrew collaterals and intact right coronary artery supplied blood stream distally Unknown Unknown
7 2006 Miranda (Lebanon)41 1 60 years Non–ST-elevation myocardial infarction and dyspnea after left upper lobe lung resection for non-small-cell lung cancer. A known case of TAO Unknown Coronary angiography showed a 90% stenosis of the distal RCA with distal flow via collaterals
Chest CT scan showed thrombosis in the left upper pulmonary vein
RCA stenting
Oral anticoagulation
Recovery and complication after 3 months follow-up
8 2005 Hong et al (Chicago, USA)42 1 61 years Referred for a positive stress test TAO diagnosis 32 years earlier
One BK, one above elbow and several minor amputations
50 pack/year Coronary angiography
No significant narrowing of LAD, the first diagonal artery, there were multiple, sequential, intraluminal filling defects in a beaded pattern. The left circumflex artery had a 40% stenosis in its proximal portion with 2 filling defects at the onset of the first obtuse marginal artery. The right coronary artery had a focal 60% stenosis in its mid portion with an overlying filling defect resulting in a 90% stenosis
Asprin and Warfarin No change in the angiography after 2 months follow-up
9 2002 Becit et al (Turkey)43 1 36 years Acute chest pain, palpitation and sweating due to acute anteroapical myocardial infarction TAO diagnosis 12 years earlier One pack of cigarette per day for 8 years previous to TAO diagnosis Coronary angiography revealed total occlusion of the proximal segment of LAD and plaque at RCA.
Histology examination of an endarterectomy specimen showed specific feature of TAO
Closed endartrectomy and bypass surgery using saphenous vein and left internal mammary artery Symptoms free up to 7 months after bypass surgery because of the occlusion of distal bypass graft.
10 2002 Hoppe et al (California, USA)44 1 39 years (woman) Three-hour of retrosternal chest pain.
History of similar episode of chest pain, which resolved spontaneously, 2 weeks earlier
History of TAO diagnosis Unknown (Smoker) Coronary angiography a proximally occluded LAD that filled distally via right to left collaterals, a 50% proximal left circumflex coronary and a dominant right coronary artery that had proximal to mid-vessel beaded irregularities
The histology examination of the left internal mammary artery confirmed TAO diagnosis
Bypass surgery Recovery
No data about follow-up
11 1997 Francesco Donatelli et al (Italy)45 1 39 years (woman) Unstable angina
History of 2 years epigastric pain of unknown origin and sporadic episodes of typical angina for the past 8 months
TAO diagnosis according to histology examination of internal thoracic artery and excluding other types of vasculitis
No more information about the extremities
She had never smoked Coronary angiography, stenosis of LAD artery and RCA.
Histology examination of dissected internal thoracic arteries was compatible with TAO diagnosis.
Bypass surgery of three vessels with saphenous veins
Internal thoracic arteries were not suitable for grafting because of diffuse narrowing at the proximal end and occlusion at the distal end.
Note: satellite lymph nodes were enlarged.
Recovery and no onset of any angina during 8 months follow-up
12 1993 Mautner et al (New York, USA)46 1 37 years Prolonged chest pain with T-wave inversion in leads I, aVL, and V4 to V6 TAO diagnosis is unknown because the histology report of coronary arteries during autopsy is more supportive for diffuse atherosclerosis
5 years earlier history of acute femoral artery occlusion and above knee amputation of both legs with one year intervals
One pack of cigarettes for 15 years Coronary angiography
About 75% stenosis of left circumflex coronary artery
Intravenous streptokinase Death due to mesenteric ischemia
13 1987 Kim et al (Korea)47 1 29 years Continuous substernal chest pain for 3 days due to anterior myocardial infarction TAO diagnosis at the time of admission for chest pain confirmed by upper and lower limbs angiography Unknown Coronary angiography
Segmental occlusion of proximal LAD
Complete occlusion of the first diagonal branch of LAD in the distal portion, irregular and tortous contour of RCA without obvious luminal narrowing
Conservative treatment with nitrate, beta blocker and calcium channel blocker Recovery
No data about the duration of follow-up
14 1985 Ohno et al
(Japan)48
1 32 years Severe chest pain at rest for 3 hrs due to acute myocardial infarction TAO diagnosis 6 years earlier and one BK and one toe amputation during this time 41–60 cigarettes per day for 12 years Coronary angiography revealed 70% stenosis of RCA and the proximal LAD Urokinase
Discharged with vasodilator and anticoagulant therapy
Recovery
(About 1 month follow-up)