Surgical treatment of aortic coarctation associated with multi-vessel brachiocephalic involvement in takayasu's arteritis.

Abstract

In Takayasu's arteritis (TA), both atypical coarctation (CO) and brachiocephalic involvement are common features that occasionally require operative correction. A combination of these abnormalities could duplicate underlying illness in patients, posing an increased risk of operative morbidity. We present, herein, two TA patients in which hypertensive heart disease secondary to CO was surgically corrected. Both patients had multi-vessel brachiocephalic disease. One patient who showed occlusion of all brachiocephalic arteries underwent aorto-aortic bypass, while another with two-vessel lesion underwent axillo-bifemoral bypass grafting. Subclavian reconstruction was supplemental to each procedure, resulting in relief of neurologic stigmata. Strategies to avoid intraoperative cerebral ischemia played an important role in the surgical repair of such TA-related extensive vascular lesions.

• Authors: Yuji Sugawara, Kazumasa Orihashi, Kenji Okada, Kazuhiro Kochi, Katsuhiko Imai, Taijiro Sueda
• Journal: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia (Ann Thorac Cardiovasc Surg) Vol. 9 Issue 3 Pg. 202-5 (Jun 2003) ISSN: 1341-1098 [Print] Japan
• PMID: 12875645 (Publication Type: Case Reports, Journal Article)

Topics

• Aortic Coarctation (diagnostic imaging, etiology, surgery)
• Brachiocephalic Trunk
• Cerebrovascular Circulation (physiology)
• Cerebrovascular Disorders (etiology, prevention & control)
• Female
• Humans
• Male
• Middle Aged
• Radiography
• Takayasu Arteritis (complications, surgery)
• Treatment Outcome
• Vascular Surgical Procedures (adverse effects, methods)