title: Surgical treatment of aortic coarctation associated with multi-vessel brachiocephalic involvement in takayasu's arteritis.
abstract: In Takayasu's arteritis (TA), both atypical coarctation (CO) and brachiocephalic involvement are common features that occasionally require operative correction. A combination of these abnormalities could duplicate underlying illness in patients, posing an increased risk of operative morbidity. We present, herein, two TA patients in which hypertensive heart disease secondary to CO was surgically corrected. Both patients had multi-vessel brachiocephalic disease. One patient who showed occlusion of all brachiocephalic arteries underwent aorto-aortic bypass, while another with two-vessel lesion underwent axillo-bifemoral bypass grafting. Subclavian reconstruction was supplemental to each procedure, resulting in relief of neurologic stigmata. Strategies to avoid intraoperative cerebral ischemia played an important role in the surgical repair of such TA-related extensive vascular lesions.
authors.affiliation: Department of Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Sugawara
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Orihashi
authors.forename: Kenji
authors.initials: K
authors.lastname: Okada
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Kochi
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Imai
authors.forename: Taijiro
authors.initials: T
authors.lastname: Sueda
mesh_terms: D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016122:Brachiocephalic Trunk; D002560:Cerebrovascular Circulation / Q000502:physiology; D002561:Cerebrovascular Disorders / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013625:Takayasu Arteritis / Q000150:complications* / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods*