Long-Term Patency of an Aorta-Aortic Graft Bypass in a Patient with Takayasu Arteritis.

Abstract

A 39-year-old womanwas diagnosed by means of angiography as Takayasu Arteritis complicated with severe systemic hypertension due to atypical coarctation of the aorta. Aortaaortic bypass graft surgery was carried out successfully and hypertension remarkably improved. Anevaluation of the graft 23 years later confirmed an almost perfect condition with a very satisfactory clinical status. Extensive long-term follow-up studies have been conducted among youngpeople after surgical repair of aortic coarctation showingencouraging results, however the situation seems to be different for the atypical coarctation in Takayasu patients, since not only the age at the time of intervention affects the outcome, but the different circumstances mainly related to the natural history of the disease. Weevaluated the long-term outcome based on similar cases with particular consideration to the extremely rare coexistence of familiar hypercholesterolemia. (Internal Medicine 37: 934-939, 1998)

Aortocarotid bypass for hemispheric hypoperfusion in a child

“…Although large-vessel vasculitides have been treated with direct bypass in adults, 1,9,16 the present case is the first report of such a bypass in a young child.…”

A New Extra-anatomical Bypass for Atypical Aortic Coarctation with Porcelain Aorta: Reno-iliac Arterial Bypass

“…For atypical aortic coarctation with severe ischemia of the lower limbs and hypertension of the upper body, thoraco-abdominal aortic bypass 3,4) or axillo-iliac 5,6) bypass has been performed. Because our case presented with severe calcification of the aorta (porcelain aorta) from the aortic origin to the renal arteries, bypass with proximal anastomosis to the thoracic aorta would be difficult and dangerous.…”

“…A ortitis syndrome (Takayasu's disease), an inflammatory disease with stenosis of the aorta and/or its branches, sometimes presents as atypical aortic coarctation at the origin of the abdominal visceral branches. 1,2) Usually, in the case of atypical aortic coarctation, a thoraco-abdominal aortic bypass 3,4) or an axillo-iliac bypass 5,6) is effective for control of blood pressure in the upper and lower body. However, these bypass procedures have been unsuitable in cases with severe aortic calcification and stenosis of the subclavian arteries because of difficulty in selection of an inflow artery.…”

Surgical Treatment of Takayasu''s Arteritis

“…In the case reported in this issue, Moncada et al (14) described a 3 9-year-old womanwho underwent extraanatomical aorta-aortic bypass for atypical coarctation of the aorta due to Takayasu' s arteritis 23 years earlier.…”