Pulseless disease

A, Jervell

doi:10.1016/0002-8703(54)90198-2

Cited by 30 publications

(6 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13 Cardiac lesions such as AR and coronary artery lesions are also often associated with Takayasu arteritis. 4,5,18 AR in Takayasu arteritis was first described by Jervell 19 in 1954. It is thought that AR develops primarily as a result of annular dilatation resulting from severe dilatation of the ascending aorta and that the secondary AR jet induces morphological change of the aortic valve leaflets such as fibrous thickening and enrolling and thereby worsens the AR itself.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Aortic Regurgitation due to Takayasu Arteritis

et al. 2005

View full text Add to dashboard Cite

Background— The goal of this retrospective study was to determine the late outcome of surgical treatment for aortic valve regurgitation due to Takayasu arteritis and correlate it with evidence of inflammation on pathological examination. Methods and Results— Ninety consecutive patients who underwent surgery for aortic valve regurgitation due to Takayasu arteritis between 1979 and 2003 were studied. Intraoperative pathological specimens of the aortic wall from 69 patients were retrospectively examined for inflammation. Aortic valve replacement was performed in 63 patients (group A) and composite graft repair in 27 patients (group B). The aortic root diameter was 39.9±9.5 mm in group A and 54.4±13.6 mm in group B ( P <0.0001). Preoperative steroid therapy was performed in 40 patients (44.4%). Hospital mortality was 4.8% (3/63) in group A and 7.4% (2/27) in group B. The overall 15-year survival rate was 76.1%. Detachment of the valve or graft occurred in 11.1% (7/63) of group A and in 3.7% (1/27) of group B patients ( P =0.43). Late dilatation (>50 mm) of the residual ascending aorta occurred in 11.1% (7/63) of group A and in 3.7% (1/27) of group B patients ( P =0.43). Active inflammation was confirmed in intraoperative pathological specimens of 10 patients, and detachment of the valve or graft occurred in 4 of these patients. Univariate analysis of background variables revealed active inflammation to be a risk factor for detachment ( P =0.0001; risk ratio 55). Conclusions— Late dilatation of the ascending aorta after aortic valve replacement is a clinically important finding. Active inflammation could be related to valve or graft detachment.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Aortic Regurgitation due to Takayasu Arteritis

et al. 2005

View full text Add to dashboard Cite

show abstract

“…For the total arch replacement, to avoid occlusion of the reconstructed supra-aortic branches, the 3 supra-aortic vessels were reconstructed as mentioned above. Although AR in TA has been frequently reported since Jervell's report 3) in 1954, the 10-year survival rate for TA complicated with AR is remarkably low at 63%. 4) According to Moriwaki, et al, 5) among their 126 patients with TA, 7 of whom died in the distant phase all died of heart failure due to AR, and AR is an important key to treat TA.…”

Section: Discussionmentioning

confidence: 99%

Successful Treatment of Giant Ascending Aortic Aneurysm with Takayasu Arteritis

Iida¹,

Fujii

Sawa

et al. 2020

Int. Heart J.

View full text Add to dashboard Cite

A 50-year-old man who suffered from dyspnea on effort with hearing loss was referred to our hospital. Computed tomography angiography revealed a giant 90-mm diameter ascending aortic aneurysm with severe calcification and neck vessel occlusion. Transthoracic echocardiography revealed moderate-to-severe aortic regurgitation. His condition was diagnosed as Takayasu arteritis and he underwent aortic valve reimplantation with total arch replacement. Postoperative computed tomography angiography showed complete aneurysm resection and the patient was discharged without any complications and his hearing loss improved. He is currently being followed up as an outpatient.

show abstract

“…It was first described in 1954 by Jervell and is thought to result from annular dilatation due to dilatation of the ascending aorta. 1 The AR jet causes the aortic valve leaflets to undergo fibrous thickening and results in worsening of the insufficiency.…”

Section: Discussionmentioning

confidence: 99%