Abstract
Takayasu’s arteritis (TA) is a chronic vasculitis involving the aorta and its main branches, the pulmonary arteries, and the coronary tree. Here we report a case of TA complicated by severe stenosis of the left coronary ostium with multivessel brachiocephalic involvement. A combination of these abnormalities could complicate underlying illness in patients, posing an increased risk of surgical morbidity. Simultaneous surgical treatment of the ascending aorta to left carotid artery bypass and coronary artery bypass using the great saphenous vein were performed. We discuss the choice of simultaneous surgery and the options for surgical treatment of complicated lesions due to TA.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Cipriano PR, Silverman JF, Perlroth MG, Griepp RB, Wexler L. Coronary arterial narrowing in Takayasu’s aortitis. Am J Cardiol 1977;39:744–750.
Endo M, Tomizawa Y, Nishida H, Aomi S, Nakazawa M, Tsurumi Y, et al. Angiographic findings and surgical treatments of coronary artery involvement in Takayasu arteritis. J Thorac Cardiovasc Surg 2003;125:570–577.
Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH, Edworthy SM, et al. The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis Rheum 1990;33:1129–1134.
Numano F, Kakuta T. Takayasu arteritis: five doctors in the history of Takayasu arteritis. Int J Cardiol 1996;54(suppl):S1–S10.
Vanoli M, Bacchiani G, Origgi L, Scorza R. Takayasu’s arteritis: a changing disease. J Nephrol 2001;14:497–505.
Frovig AG, Loken AC. Syndrome of obliteration of the arterial branches of the aortic arch due to arteritis. Acta Psychiatr Neurol Scand 1951;26:313–337.
Young JA, Sengupta A, Khaja FU. Coronary arterial stenosis, angina pectoris and atypical coarctation of the aorta due to nonspecific arteritis. Treatment with aortocoronary bypass graft. Am J Cardiol 1973;32:356–360.
Nasu T. Takayasu’s truncoarteritis in Japan. A statistical observation of 76 autopsy cases. Pathol Microbiol (Basel) 1975;43:140–146.
Lupi HE, Sanchez TG, Marcushamer J, Mispireta J, Horwitz S, Vela JE. Takayasu’s arteritis. Clinical study of 107 cases. Am Heart J 1977;93:94–103.
Shelhamer JH, Volkman DJ, Parrillo JE. Takayasu’s arteritis and its therapy. Ann Intern Med 1985;103:121–126.
Matsuura K, Ogino H, Kobayashi J, Ishibashi-Ueda H, Matsuda H, Minatoya K, et al. Surgical treatment of aortic regurgitation due to Takayasu arteritis: long-term morbidity and mortality. Circulation 2005;112(24):3707–3012.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Wu, X., Duan, H.Y., Gu, Y.Q. et al. Surgical treatment of multivessel lesions in Takayasu’s arteritis: Report of a case. Surg Today 41, 552–555 (2011). https://doi.org/10.1007/s00595-010-4288-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-010-4288-y