A durable iliac-axillary and axillary-carotid bypass for cerebral ischemia due to Takayasu arteritis allowed successful pregnancies and deliveries.
A 24-year-old Japanese woman underwent ilioaxillary bypass with an expanded polytetrafluoroethylene graft and axillocarotid bypass with an autologous saphenous vein graft for severe brain ischemia due to Takayasu arteritis. A method that involved wrapping strips of the graft around the artery was used to prevent stretching of the anastomotic site. Her general condition and symptoms improved remarkably. She became pregnant three times and delivered the infants without any complications caused by the operation. The present case contributes to proof of patency, effectiveness, and durability of these bypass grafts.
Kondo
Norihiro
N
Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Aomori, Japan. kondo18@r66.7-dj.com
Koyama
Masayuki
M
Iwai
Takehisa
T
Ozaki
Takashi
T
Ishiguro
Yoh
Y
Noda
Hiroshi
H
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D001366:Axillary Artery / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002545:Brain Ischemia / Q000209:etiology / Q000601:surgery*; D017536:Carotid Artery, Common / Q000601:surgery; D002544:Cerebral Infarction / Q000209:etiology / Q000601:surgery; D002548:Cerebral Revascularization; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007231:Infant, Newborn; D011138:Polytetrafluoroethylene; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation; D013625:Takayasu Arteritis / Q000150:complications*; D014654:Vascular Patency
D011138:Polytetrafluoroethylene