| Takayasu's arteritis with renovascular hypertension: results of surgical treatment. | |
| | |
MedLine Citation:
|
PMID: 10519671 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Renal artery stenosis caused by Takayasu's arteritis is an important cause of hypertension in young patients in the Far East. The role of surgery in Takayasu's arteritis is not as well-defined as in atherosclerosis or fibromuscular dysplasia. In this retrospective review, the author reports the results of 19 renal artery reconstructions in 12 young patients (median age 23.5 years, range 10-46 years) presenting with renovascular hypertension and Takayasu's arteritis, and discusses the different surgical options. The procedures performed included aortorenal bypass using vein (five), aortorenal bypass using polytetrafluoroethylene (PTFE) (eight), iliorenal bypass using vein (four), reimplantation of renal artery (one) and aortic replacement graft-renal bypass (one). Postoperatively, all 12 patients had a successful outcome with improved hypertension. There was no perioperative mortality, and complications included two early graft thrombosis and one late graft occlusion. These results support the view that surgical treatment for renovascular hypertension in Takaysu's disease is safe and effective. |
| | |
Authors:
|
M K Teoh |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Cardiovascular surgery (London, England) Volume: 7 ISSN: 0967-2109 ISO Abbreviation: Cardiovasc Surg Publication Date: 1999 Oct |
Date Detail:
|
Created Date: 1999-11-16 Completed Date: 1999-11-16 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 9308765 Medline TA: Cardiovasc Surg Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 626-32 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Singapore General Hospital, Singapore. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation Female Humans Hypertension, Renovascular / diagnosis, etiology*, surgery Male Polytetrafluoroethylene Renal Artery / surgery Renal Artery Obstruction / diagnosis, etiology, surgery* Retrospective Studies Takayasu Arteritis / complications*, diagnosis, surgery* Veins / transplantation |
| Chemical | |
Reg. No./Substance:
|
9002-84-0/Polytetrafluoroethylene |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Reoperative aortic surgery.
Next Document: Retinoic acid suppresses intimal hyperplasia and prevents vessel remodeling following arterial injur...