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Extra-Anatomic Ascending Aorta to Abdominal Aorta Bypass in Takayasu Arteritis Patients with Mid-Aortic Syndrome
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 270-274, 2017.
Artículo en Inglés | WPRIM | ID: wpr-217613
ABSTRACT

BACKGROUND:

We evaluated the operative outcomes of an extra-anatomic bypass from the ascending aorta to the abdominal aorta in patients with type II or III Takayasu arteritis (TA) with mid-aortic syndrome.

METHODS:

From 1988 to 2014, 8 patients with type II (n=2) or III (n=6) TA underwent an ascending aorta to abdominal aorta bypass. The mean patient age was 43.5±12.2 years and the mean peak pressure gradient between the upper and lower extremities was 54.8±39.0 mm Hg. The median follow-up duration was 54.4 months (range, 17.8 to 177.4 months).

RESULTS:

There were no cases of operative mortality. The mean peak pressure gradient significantly decreased to −2.4±32.3 mm Hg (p=0.017 compared to the preoperative value). Late death occurred in 2 patients. The symptoms of upper extremity hypertension and claudication improved in all patients. The bypass grafts were patent at 47.1±58.9 months in 7 patients who underwent follow-up imaging studies.

CONCLUSION:

An extra-anatomic ascending aorta to abdominal aorta bypass could be an effective treatment option for severe aortic steno-occlusive disease in patients with type II or III TA, with favorable early and long-term outcomes.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Aorta / Aorta Abdominal / Estudios de Seguimiento / Mortalidad / Arteritis de Takayasu / Trasplantes / Extremidad Inferior / Extremidad Superior / Hipertensión Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2017 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Aorta / Aorta Abdominal / Estudios de Seguimiento / Mortalidad / Arteritis de Takayasu / Trasplantes / Extremidad Inferior / Extremidad Superior / Hipertensión Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2017 Tipo del documento: Artículo