Document Detail


Bilateral coronary ostial patch angioplasty with autologous pericardium in Takayasu arteritis: a case requiring replacement of the aortic valve and ascending aorta.
MedLine Citation:
PMID:  15450598     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Since the lesions and stages of Takayasu arteritis vary with each patient, surgical treatment of this disease requires meticulous planning for the timing of operation, technique, material used, and postoperative medication. We report a rare complex lesion of Takayasu arteritis, which required simultaneous repairs for aortic regurgitation, a dilated ascending aorta and bilateral coronary ostial stenosis. Such multiple lesions have not been reported previously. A 47-year-old woman was referred to us because of heart failure and chest pain. The coronary ostial stenosis were enlarged with generously sized autologous pericardial patches, and separate aortic valve and ascending aortic replacements were performed since the diameter of the Valsalva sinus was 37 mm. The postoperative course was uneventful, but steroid therapy was commenced postoperatively because inflammatory reaction remained high.
Authors:
Toshifumi Murashita; Kimihiro Yoshimoto; Hiroshi Sugiki; Keishu Yasuda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  26     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-09-28     Completed Date:  2004-12-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  866-8     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Hokkaido University Graduate School of Medicine, Kita-14, Nishi-5, Kita-ku, Sapporo 060-8648, Japan. muratosh@med.hokudai.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Angioplasty / methods*
Aortic Valve / surgery
Aortic Valve Insufficiency / surgery*
Coronary Stenosis / surgery
Female
Heart Valve Prosthesis Implantation / methods*
Humans
Middle Aged
Pericardium / transplantation
Takayasu Arteritis / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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