Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

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

References

    1. Yun JK, Kim JB. Extra-anatomic aortic bypass for the management of mid-aortic syndrome caused by Takayasu arteritis. Korean J Thorac Cardiovasc Surg. 2015;48:70–3. doi: 10.5090/kjtcs.2015.48.1.70. - DOI - PMC - PubMed
    1. Matsubara O, Kagata Y, Imazeki N, et al. Aortic valve lesions in Takayasu’s arteritis: pathologic examination of surgically removed and autopsied aortic valves in 12 patients. Proceedings of the 86th Annual Meeting of the United States and Canadian Academy of Pathology; 1997 Mar; Orlando, USA. Augusta (GA): The United States and Canadian Academy of Pathology; 1997.
    1. Song JK, Jeong YH, Kang DH, et al. Echocardiographic and clinical characteristics of aortic regurgitation because of systemic vasculitis. J Am Soc Echocardiogr. 2003;16:850–7. doi: 10.1067/S0894-7317(03)00406-1. - DOI - PubMed
    1. Lee GY, Jang SY, Ko SM, et al. Cardiovascular manifestations of Takayasu arteritis and their relationship to the disease activity: analysis of 204 Korean patients at a single center. Int J Cardiol. 2012;159:14–20. doi: 10.1016/j.ijcard.2011.01.094. - DOI - PubMed
    1. Heinemann MK, Ziemer G, Wahlers T, Kohler A, Borst HG. Extraanatomic thoracic aortic bypass grafts: indications, techniques, and results. Eur J Cardiothorac Surg. 1997;11:169–75. doi: 10.1016/S1010-7940(96)01018-4. - DOI - PubMed

Publication types

LinkOut - more resources