Document Detail


Evaluation of cerebral hypoperfusion by nuclear medicine imaging in a patient with Takayasu's arteritis.
MedLine Citation:
PMID:  16228810     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In patients with Takayasu's arteritis presenting with cerebrovascular insufficiency, deciding whether and how to perform surgical intervention is difficult. We report successful extra-anatomical cerebrovascular reconstruction in a patient with Takayasu's arteritis involving the aortic arch. A 27-year-old woman was diagnosed with Takayasu's arteritis with occlusion of all three branches of the aortic arch. Single-photon emission computed tomography and positron emission tomography of the brain were useful in assessing the indication and effect of surgical treatment. Right common ilioaxillary artery bypass grafting was performed, and at 18-month follow-up the patient remained symptom-free. Extra-anatomical bypass can be a therapeutic option for surgical management of Takayasu's arteritis with aortic arch involvement.
Authors:
Akihiro Hosaka; Tetsuro Miyata; Toshimitsu Momose; Tatsu Nakazawa; Hiroshi Shigematsu; Hirokazu Nagawa
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  19     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-31     Completed Date:  2006-01-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  917-20     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Department of Surgery, University of Tokyo, 7-3-1 Hongo, Buntyo-ku, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / blood supply*
Cerebrovascular Circulation
Cerebrovascular Disorders / diagnosis*,  etiology,  surgery*
Female
Fluorescein Angiography
Humans
Positron-Emission Tomography
Takayasu Arteritis / complications*
Tomography, Emission-Computed, Single-Photon

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