Pulseless disease, or Takayasu's arteritis, is usually found in the aorta and its major branches in young female patients. Involvement of the coronary arteries is extremely rare. Fewer than 25 cases have been reported. This report documents a case of a 71-year-old man who died of coronary insufficiency and myocardial infarction. The autopsy disclosed extensive granulomatous coronary arteritis.
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