A case of left main coronary artery disease in a young female with aorto arteritis

Aorto arteritis involving coronary lesions is very rare. Coronary lesions, mostly involved are in the form of stenosis or occlusion. It usually involves 9–11% of cases, with coronary ostial site, being the most common site for the involvement up to 73%. The disease is commonly involved in young Asian women with unknown aetiology. In this case, we present a young woman, who has high suspicion of aorto arteritis with significant left main coronary artery disease and right coronary involvement. The culprit lesions were stented with drug eluting stents (Promus Element). But during her 7th month of post angioplasty, patient was readmitted with acute coronary syndrome- Exertional Angina. Her Computerised Tomography – Coronary angiogram showing significant in stent disease in stented ostioproximal segments of Right coronary artery and Left main coronary artery. So patient has been posted for coronary artery bypass graft surgery. The patient has improved symptomatically during her post operative stay and was discharged in haemodynamically stable condition.