title: Total arch replacement after a failed repair for Takayasu's ascending aortitis.
abstract: The constellation of Takayasu's disease most commonly includes aortitis with resultant coarctations and aneurysm formation. Surgical repair of these lesions can be compromised by the chronic inflammation of Takayasu's arteritis. We present a case of a 22-year-old female with Takayasu's disease who had undergone an ascending and aortic hemiarch replacement then subsequently developed anastomotic dehiscence and re-expansion of the previous aneurysmal sac. Complete aneurysm resection and replacement of the ascending aorta and aortic arch was performed on repeated surgery.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA.
authors.forename: Alexis E
authors.initials: AE
authors.lastname: Shafii
authors.forename: Alessandro
authors.initials: A
authors.lastname: Vivacqua
authors.forename: Turki B
authors.initials: TB
authors.lastname: Albacker
authors.forename: Charles
authors.initials: C
authors.lastname: Sheih
authors.forename: Lars G
authors.initials: LG
authors.lastname: Svensson
mesh_terms: D057868:Anastomotic Leak / Q000175:diagnosis / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D012086:Reoperation / Q000379:methods*; D013625:Takayasu Arteritis / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D014656:Vascular Surgical Procedures / Q000379:methods*; D055815:Young Adult