title: Isolated supradiaphragmatic descending thoracic aorta stenosis in a Takayasu's disease: surgical cure.
abstract: A 21-year-old male patient presented with a typical middle aortic syndrome. Echography disclosed a severe narrowing of the lower thoracic aorta with parietal thickening. The isolated character of the lesion was confirmed by magnetic resonance imaging and aortography. The surgical cure was realized by a Dacron bypass between the upper thoracic descending aorta and the juxta-diaphragmatic thoracic aorta. Aortic biopsy confirmed Takayasu's disease. Postoperative course was uneventful with normalized blood pressure. The therapeutic options, surgery versus percutaneous dilatation and stent, are discussed.
authors.affiliation: Department of Cardiac Surgery, CHU St. Pierre, rue Haute 322, 1000 Brussels, Belgium.
authors.forename: B
authors.initials: B
authors.lastname: Segers
authors.forename: M
authors.initials: M
authors.lastname: Derluyn
authors.forename: J P
authors.initials: JP
authors.lastname: Barroy
authors.forename: A P
authors.initials: AP
authors.lastname: Brunet
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013625:Takayasu Arteritis / Q000150:complications*