Isolated supradiaphragmatic descending thoracic aorta stenosis in a Takayasu's disease: surgical cure.
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.
Segers
B
B
Department of Cardiac Surgery, CHU St. Pierre, rue Haute 322, 1000 Brussels, Belgium.
Derluyn
M
M
Barroy
J P
JP
Brunet
A P
AP
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*