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Case Reports
. 2018 Dec;51(6):399-402.
doi: 10.5090/kjtcs.2018.51.6.399. Epub 2018 Dec 5.

A Minimally Invasive Approach for the Treatment of Mid-Aortic Syndrome in Takayasu Arteritis

Keong Jun Ha  1 , Won Chul Cho  1 , Wan Kee Kim  2 , Joon Bum Kim  2
Affiliations
Case Reports

A Minimally Invasive Approach for the Treatment of Mid-Aortic Syndrome in Takayasu Arteritis

Keong Jun Ha et al. Korean J Thorac Cardiovasc Surg. 2018 Dec.

Abstract

A 61-year-old woman who presented with claudication and dyspnea on exertion was found to have severe calcified narrowing of the descending aorta and severe insufficiency of the aortic valve. These findings were compatible with Takayasu arteritis. To treat these hemodynamic abnormalities, extra-aortic bypass surgery combined with replacement of the aortic valve and ascending aorta-to-hemiarch replacement was performed through a separated upper hemi-sternotomy and limited median laparotomy. We present our successful surgical experience with this case.

Keywords: Aortic bypass surgery; Minimally invasive surgery; Takayasu arteritis; Thoracic aorta.

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Conflict of interest statement

Conflict of interest No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Preoperative computed tomography. (A) Multifocal luminal narrowing in the descending aorta. (B) The dilated ascending aorta with severe calcification of the aortic wall.
Fig. 2
Fig. 2
Intraoperative findings. (A) Double incisions for the surgical approach (upper hemi-sternotomy and mini-laparotomy). (B) A preliminarily shaped hand-sewn graft.
Fig. 3
Fig. 3
The results of graft bypass. (A) Replacement of the ascending aorta. (B) Bypass graft anastomosed at the abdominal aorta. (C) Postoperative computed tomography showing well-maintained blood flow.
See this image and copyright information in PMC

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