| A case of pulmonary artery bypass surgery for a patient with isolated Takayasu pulmonary arteritis and a review of the literature. | |
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MedLine Citation:
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PMID: 17717505 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 45-year-old female was presented with progressive dyspnea and bilateral leg edema. Pulmonary angiography revealed total occlusion of the right pulmonary artery and significant stenosis of the left pulmonary artery. The inferior lobar artery as well as the segmental arteries were well patent. No pathology was detected elsewhere at the aorta and its branches. The diagnosis of chronic pulmonary arterial occlusion by isolated Takayasu arteritis was made because of the characteristic pattern of angiographic findings and the presence of unusual shunt formation from the coronary artery to the peripheral portion of the pulmonary artery, as well as a characteristic presentation of HLA typing in blood analysis, which strongly suggested the diagnosis of Takayasu arteritis. To restore the pulmonary blood flow, we employed reconstructive surgery by means of bypass procedure, using PTFE graft. Postoperatively there was marked improvement in cardiopulmonary function and the quality of life of the patient. The graft was proved to be patent at long-term follow-up study. An extremely rare case of chronic occlusive pulmonary arteritis, which was surgically treated by means of bypass procedure, is reported herein, and a brief review of previous reports on this subject was attempted. |
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Authors:
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Nobuyuki Nakajima; Masahisa Masuda; Mizuho Imamaki; Atsushi Ishida; Nobuhiro Tanabe; Takayasu Kuriyama |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
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: 13 ISSN: 1341-1098 ISO Abbreviation: Ann Thorac Cardiovasc Surg Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-08-24 Completed Date: 2007-11-05 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: 267-71 Citation Subset: IM |
Affiliation:
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Cardiovascular Surgical Service, Department of Surgery, Chiba Graduate School of Medicine, Chiba, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Blood Vessel Prosthesis Implantation Female Humans Middle Aged Pulmonary Artery / radiography, surgery* Takayasu Arteritis / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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