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The Journal of Cardiovascular Surgery 1999 December;40(6):865-70

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Takayasu’s aortitis treated surgically by extensive aortic replacement. A case report

Dudra J., Shiiyva N., Kunihara T., Sasaki S., Yasuda K.

From the Department of Cardiovascular Surgery, Hokkaido University, School of Medicine Sapporo, Japan


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A ­case ­report of Takayasu’s arter­itis ­with aneu­rys­mal involve­ment of the ascend­ing aor­ta, aor­tic ­arch and descend­ing tho­rac­ic aor­ta is pre­sent­ed. The ­patient under­went suc­cess­ful two-­stage oper­a­tion by use of Elephant ­trunk tech­nique. During the ­first oper­a­tion, replace­ment of ascend­ing aor­ta and aor­tic ­arch was ­done ­under selec­tive cere­bral per­fu­sion. During the sec­ond-­stage oper­a­tion, replace­ment of the descend­ing tho­rac­ic aor­ta was per­formed ­under par­tial car­diopul­mo­nary ­bypass. The post­op­er­a­tive ­course was unevent­ful and one ­year ­after sur­gery the ­patient is ­doing ­well. Specific con­di­tions and oper­a­tive strat­e­gy ­required in ­case of exten­sive aor­tic involve­ment in Takayasu’s arter­itis are dis­cussed.

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