Surgical treatment of multivessel lesions in Takayasu’s arteritis: Report of a case

Abstract

Takayasu's arteritis (TA) is a chronic vasculitis involving the aorta and its main branches, the pulmonary arteries, and the coronary tree. Here we report a case of TA complicated by severe stenosis of the left coronary ostium with multivessel brachiocephalic involvement. A combination of these abnormalities could complicate underlying illness in patients, posing an increased risk of surgical morbidity. Simultaneous surgical treatment of the ascending aorta to left carotid artery bypass and coronary artery bypass using the great saphenous vein were performed. We discuss the choice of simultaneous surgery and the options for surgical treatment of complicated lesions due to TA.

Coronary artery involvement in pediatric Takayasu’s arteritis: Case report and literature review

“…To our knowledge, there is little data on the evaluation of pediatric TA patients for coronary artery involvement and even less data on the management of such patients. Because of the life threatening complications of coronary artery involvement, a thorough baseline evaluation should be performed, as the medical and surgical options for repair depend on symptoms of ischemia and grade of lesions present [10,14]. …”