Iliorenal bypass for the treatment of type-3 Takayasu's disease. A case report with 10-year follow-up.
The case of a 16-year old female with severe renovascular hypertension resulting from type-3 Takayasu's arteritis is reported. The entire thoracic and abdominal aorta was affected by an active inflammatory process and all its branches were stenotic or occluded. After the early failure of a percutaneous balloon angioplasty of the left renal artery, an iliac to renal artery bypass graft using a reversed autologous saphenous vein was performed through a retroperitoneal tunnel The patient is asymptomatic and the graft is patent at 10-year follow-up.
Mingoli
A
A
1st Department of Surgery, La Sapienza University, Policlinico Umberto I, Rome Italy.
Sapienza
P
P
di Marzo
L
L
Sciacca
V
V
Burchi
C
C
Cavallaro
A
A
D000293:Adolescent; D001012:Aorta, Abdominal / Q000473:pathology; D001013:Aorta, Thoracic / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D007083:Iliac Artery / Q000601:surgery; D011859:Radiography; D012077:Renal Artery / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation; D013625:Takayasu Arteritis / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*