| Internal thoracic-carotid bypass surgery for Takayasu's arteritis. | |
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MedLine Citation:
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PMID: 9537660 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Various carotid reconstructions have been used in Takayasu's arteritis (TA) to relieve brain ischemic insult. The indications and guidelines for surgical management, however, have remained poorly defined. The authors present a new reconstructive procedure using the sequential internal thoracic artery (ITA) as the donor for bypass surgery to supplement the cerebral blood flow. CASE DESCRIPTION: A 38-year-old woman presented with three episodes of syncope. The patient was admitted to our hospital and was diagnosed with TA. Before the operation, the patient was designated to undergo aortocarotid bypass using saphenous veins. However, a dilated ascending aorta with an extremely thin wall made it impossible. Finally, we decided to use the ITA as the donor for bypass surgery. This patient is now free of cerebral ischemic insult 8 months after the operation. CONCLUSION: Although the procedure is still at a preliminary stage, a successful case is briefly described. |
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Authors:
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T Matsumoto; K Yamada; N Shimazu; M Mase; A Mishima; M Asano; T Ukai; H Narita |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Surgical neurology Volume: 49 ISSN: 0090-3019 ISO Abbreviation: Surg Neurol Publication Date: 1998 Apr |
Date Detail:
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Created Date: 1998-04-14 Completed Date: 1998-04-14 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0367070 Medline TA: Surg Neurol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 417-9 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Nagoya City University Medical School, Nagoya, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anastomosis, Surgical Carotid Arteries / surgery* Female Humans Takayasu Arteritis / surgery* Thoracic Arteries / surgery* Vascular Surgical Procedures / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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