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Extra-anatomic Aortic Bypass for the Management of Mid-Aortic Syndrome Caused by Takayasu arteritis

  • Yun, Jae Kwang (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Joon Bum (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2014.04.01
  • Accepted : 2014.07.18
  • Published : 2015.02.05

Abstract

Lower limb ischemia caused by multiple stenosis of the thoracoabdominal aorta is one of the rare clinical manifestations of Takayasu arteritis. The optimal management of such mid-aortic syndrome related with Takayasu arteritis has not been established to date. Here we report a case of extra-anatomic aortic bypass through minimally invasive techniques to treat lower limb ischemia caused by Takayasu arteritis.

Keywords

References

  1. Ogino H, Matsuda H, Minatoya K, et al. Overview of late outcome of medical and surgical treatment for Takayasu arteritis. Circulation 2008;118:2738-47. https://doi.org/10.1161/CIRCULATIONAHA.107.759589
  2. Kerr GS, Hallahan CW, Giordano J, et al. Takayasu arteritis. Ann Intern Med 1994;120:919-29. https://doi.org/10.7326/0003-4819-120-11-199406010-00004
  3. Ishikawa K. Effects of prednisolone therapy on arterial angiographic features in Takayasu's disease. Am J Cardiol 1991;68:410-3. https://doi.org/10.1016/0002-9149(91)90845-C
  4. Saxena A, Kothari SS, Sharma S, Juneja R, Srivastava S. Percutaneous transluminal angioplasty of the aorta in children with nonspecific aortoarteritis: acute and follow-up results with special emphasis on left ventricular function. Catheter Cardiovasc Interv 2000;49:419-24. https://doi.org/10.1002/(SICI)1522-726X(200004)49:4<419::AID-CCD15>3.0.CO;2-I
  5. Novick AC, Ziegelbaum M, Vidt DG, Gifford RW Jr, Pohl MA, Goormastic M. Trends in surgical revascularization for renal artery disease: ten years' experience. JAMA 1987;257: 498-501. https://doi.org/10.1001/jama.1987.03390040114028
  6. Fields CE, Bower TC, Cooper LT, et al. Takayasu's arteritis: operative results and influence of disease activity. J Vasc Surg 2006;43:64-71. https://doi.org/10.1016/j.jvs.2005.10.010
  7. Park MC, Lee SW, Park YB, Lee SK, Choi D, Shim WH. Post-interventional immunosuppressive treatment and vascular restenosis in Takayasu's arteritis. Rheumatology (Oxford) 2006;45:600-5. https://doi.org/10.1093/rheumatology/kei245
  8. Matsuno Y, Mori Y, Umeda Y, Imaizumi M, Takiya H. A successful case of ascending aorta: abdominal aorta bypass for middle aortic syndrome. Vasc Endovascular Surg 2009;43:96-9. https://doi.org/10.1177/1538574408322756

Cited by

  1. Extra-Anatomic Ascending Aorta to Abdominal Aorta Bypass in Takayasu Arteritis Patients with Mid-Aortic Syndrome vol.50, pp.4, 2015, https://doi.org/10.5090/kjtcs.2017.50.4.270
  2. A Minimally Invasive Approach for the Treatment of Mid-Aortic Syndrome in Takayasu Arteritis vol.51, pp.6, 2015, https://doi.org/10.5090/kjtcs.2018.51.6.399