Maladie de Takayasu chez un homme diabetique hypertendu de 52 ans : une observation inhabituelle

La maladie de Takayasu est une maladie inflammatoire chronique vasculaire notamment artérielle touchant les gros vaisseaux. Son diagnostic est  souvent tardif au stade de sténose, la phase inflammatoire passe inaperçue. Nous rapportons un cas de maladie de Takayasu chez un homme de 52 ans diabétique et hypertendu ayant consulté pour une maladie abarticulaire de l’épaule gauche. L’examen clinique a noté une limitation  unidirectionnelle de l’épaule gauche avec un pseudo signe de la main de l’accoucheur lors du gonflage du brassard au bras gauche. L’angioscanner  de l’aorte thoracique occupe une place importante dans le diagnostic.   English title: Takayasu disease in a 52-year-old hypertensive diabetic man: uncommon case report Takayasu's disease is a chronic vascular, particularly arterial inflammatory disease, affecting the large vessels. Its diagnosis is often late at the stage  of stenosis; the inflammatory phase goes unnoticed. We report a case of Takayasu disease in a 52-year-old diabetic and hypertensive man who  consulted about a left shoulder joint disease. Clinical examination noted unidirectional limitation of the left shoulder with a pseudo midwife's hand  sign on cuff inflation in the left arm. Thoracic aortic angioscan is an important part of the diagnosis

Left Ventricle Pseudoaneurysm: Contribution of Multimodality Imaging to the Diagnosis

The left ventricle pseudoaneurysm is an anomaly of the left ventricle and is severed and joined with a pocket look. There may be secondary to a myocardial infarction, trauma, or surgical procedure. Sometimes the cause is not found. Complications are heart failure, arrhythmias, vascular embolism, and sudden death. The treatment is surgical only. The authors report the case of a black patient of 64 years old, without medical history, had seen to a deformation of the cardiac shadow in radiography. The left ventricle pseudoaneurysm and in situ thrombus are visualized in echocardiography and CT scan. The patient is waiting for heart surgery