A 30 year-old
female patient was admitted for
dizziness and palpitation. Pulsation of the both
upper extremities and both
common carotid arteries were absent.
Innominate artery and both
common carotid arteries were severely narrowed, and both
subclavian arteries were completely obstructed on aortogram. The
patient was diagnosed as type I
Takayasu's arteritis, and operation was performed to increase
blood flow to the
brain and both
upper extremities.
Ascending aorta, both
carotid arteries, both
subclavian arteries, and both
axillary arteries were exposed by four separate incision, and we performed an aorto-bicarotid-biaxillary bypass with Hemashield
graft. Previous
dizziness and
palpation were disappeared after the operation.