Document Detail


Surgical treatment of Takayasu arteritis.
MedLine Citation:
PMID:  1360963     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From 1959 to 1991, 93 patients underwent vascular reconstruction for Takayasu arteritis at our institution. The details of the cases were as follows: 16 were of type I (brachiocephalic ischemia), 48 type II (hypertension), 13 type III (extensive lesions with cerebral ischemia and hypertension), and 16 type IV (aneurysms). Carotid reconstruction, repair of atypical aortic coarctation, renovascular reconstruction, and aneurysm repair were performed independently or in combination. Nine operative deaths occurred, 8 cases of which were operated before 1970. The most serious of the delayed complications was suture line aneurysm formation, which was encountered in ten cases. The aneurysms were often found long after the operation, some of them developing even after more than 20 years. Takayasu arteritis is characterized by extensive inflammation and destruction of the medial elastic fibers and long term postoperative observation is mandatory to improve the late survival rate.
Authors:
Y Tada; O Sato; A Ohshima; T Miyata; S Shindo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart and vessels. Supplement     Volume:  7     ISSN:  0935-736X     ISO Abbreviation:  Heart Vessels Suppl     Publication Date:  1992  
Date Detail:
Created Date:  1993-01-12     Completed Date:  1993-01-12     Revised Date:  2008-02-26    
Medline Journal Info:
Nlm Unique ID:  8810802     Medline TA:  Heart Vessels Suppl     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  159-67     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Faculty of Medicine, University of Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm / classification,  radiography,  surgery
Aortic Coarctation / classification,  radiography,  surgery
Aortography
Blood Vessel Prosthesis
Carotid Stenosis / classification,  radiography,  surgery
Follow-Up Studies
Humans
Postoperative Complications / mortality,  radiography,  surgery
Reoperation
Subclavian Steal Syndrome / classification,  radiography,  surgery
Survival Rate
Takayasu Arteritis / classification,  radiography,  surgery*
Veins / transplantation

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


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