| Surgical treatment of aortic coarctation associated with multi-vessel brachiocephalic involvement in takayasu's arteritis. | |
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MedLine Citation:
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PMID: 12875645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In Takayasu's arteritis (TA), both atypical coarctation (CO) and brachiocephalic involvement are common features that occasionally require operative correction. A combination of these abnormalities could duplicate underlying illness in patients, posing an increased risk of operative morbidity. We present, herein, two TA patients in which hypertensive heart disease secondary to CO was surgically corrected. Both patients had multi-vessel brachiocephalic disease. One patient who showed occlusion of all brachiocephalic arteries underwent aorto-aortic bypass, while another with two-vessel lesion underwent axillo-bifemoral bypass grafting. Subclavian reconstruction was supplemental to each procedure, resulting in relief of neurologic stigmata. Strategies to avoid intraoperative cerebral ischemia played an important role in the surgical repair of such TA-related extensive vascular lesions. |
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Authors:
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Yuji Sugawara; Kazumasa Orihashi; Kenji Okada; Kazuhiro Kochi; Katsuhiko Imai; Taijiro Sueda |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: 9 ISSN: 1341-1098 ISO Abbreviation: Ann Thorac Cardiovasc Surg Publication Date: 2003 Jun |
Date Detail:
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Created Date: 2003-07-23 Completed Date: 2003-11-25 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 202-5 Citation Subset: IM |
Affiliation:
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Department of Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Coarctation
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etiology,
radiography,
surgery* Brachiocephalic Trunk* Cerebrovascular Circulation / physiology Cerebrovascular Disorders / etiology, prevention & control Female Humans Male Middle Aged Takayasu Arteritis / complications*, surgery* Treatment Outcome Vascular Surgical Procedures / adverse effects, methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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