Takayasu's aortitis with renovascular hypertension: successful complex revascularization.
We report a case of Takayasu's disease in a young Algerian woman with severe renovascular hypertension that failed to respond to medical treatment. There was a general inflammatory syndrome but no important immunological abnormality. Histology showed non-specific aortoarteritis. A left nephrectomy was done, a monofilament knitted polypropylene prosthesis was placed between the thoracic aorta and the aortic bifurcation, and an aorto-reno-mesenteric graft was inserted. The patient was normotensive with no further therapy 2 years later.
D000328:Adult; D001015:Aortic Arch Syndromes / Q000601:surgery*; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000601:surgery*; D006978:Hypertension, Renovascular / Q000209:etiology / Q000601:surgery*; D013625:Takayasu Arteritis / Q000150:complications / Q000276:immunology / Q000601:surgery*