title: Surgical treatment of atypical aortic coarctation associated with occlusion of all arch vessels in Takayasu's disease.
abstract: We report a patient with Takayasu's disease surgically treated who had presented severe manifestation due to aortic coarctation associated with occlusion of all arch branches. This patient had suffered cardiac failure and recurrent fainting attacks before surgery. The operative procedures included ascending to infra-renal aortic bypass grafting combined with reconstruction of the right axillary artery. Cardio-pulmonary bypass (CPB) was used to facilitate the proximal aortic anastomosis. Regional oxygen saturation in the bilateral frontal lobes was measured intraoperatively using near-infrared spectroscopy to detect cerebral ischemia. Regional oxygen saturation was managed above the critical level throughout the CPB. No new cerebral complications occurred in the perioperative period.
authors.affiliation: First Department of Surgery, Hiroshima University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. sugawara@hiroshima-u.ac.jp
authors.forename: Yuji
authors.initials: Y
authors.lastname: Sugawara
authors.forename: Taijiro
authors.initials: T
authors.lastname: Sueda
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Orihashi
authors.forename: Kenji
authors.initials: K
authors.lastname: Okada
mesh_terms: D001017:Aortic Coarctation / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D013625:Takayasu Arteritis / Q000150:complications*