Arterial reconstruction for non-specific arteritis (Takayasu's disease): Medium to long term results

Retrospective Analysis of Surgery Versus Endovascular Intervention in Takayasu Arteritis

“…Surgery has been associated with low mortality and morbidity except for surgery on an aortic aneurysm, especially a ruptured aneurysm. 20 Consistent with our data, the major surgical procedures in the Japanese nationwide surveys were aortocervical bypass, cervicosubclavian bypass, aortic replacement, aortocoronary bypass, replacement of aortic aneurysm, aortoaortic bypass, aortorenal bypass, reconstruction of renal vessel, and nephrotomy. 21 Kieffer et al 22 reported satisfactory early and long-term outcome in 24 patients with TA who underwent surgery for renal artery stenosis.…”

Surgical Treatment of Aortic Regurgitation due to Takayasu Arteritis

“…1 Although this disease was initially thought to be rare and confined to Asia, subsequent clinical reports have shown that it occurs worldwide and is more common than it was initially thought to be. [13][14][15][16][17] It causes segmental dilatation or stenosis of the aorta and its major branches and requires surgical intervention. Diagnosis of it is based on the presence of symptoms and signs of ischemic, inflammatory largevessel disease and supportive radiographic findings.…”

Aortic Aneurysms in Takayasu Arteritis

“…Indeed, they reported that the 15-year survival rate for patients with both a progressive disease course and major complications, such as aneurysmal changes, was 43% compared with a survival rate of 96.4% in patients with no complications. The rate of growth and risk of rupture of Takayasu aneurysms are thought to be lower than those of atherosclerotic aneurysms (Robbs et al, 1994). Sueyoshi and colleagues (2000) followed 17 aneurysms in 14 patients with Takayasu arteritis by CT scans for a mean followup period of 52.9 months.…”

“…The durability of the reconstructions varies in different reports. However, a high incidence of restenosis or pseudoaneurysm has been described (Robbs et al, 1994). Constant surveillance of patients who have undergone these procedures is necessary.…”

“…Kieffer et al (2004) reported a satisfactory surgical outcome of descending thoracic and thoracoabdominal aortic aneurysm in 33 patients with Takayasu arteritis operated between 1974 and 2001, despite the extent of the aneurysmal lesions and high frequency of association with visceral and supra-aortic vessel lesions. Robbs et al (1994), from South Africa, reported an operative mortality of 3% to 4% in their patients with Takayasu arteritis, most of whom had aneurysms. The mortality was related to ruptured aneurysms.…”