Aorto-bicarotid-biaxillary Bypass in Takayasu′s Arteritis -One case report-

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 tvue Ⅰ Takayasu's arteritis, and operation was peformed 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.

Takayasu 동맥염에서 Aorto-bicarotid-biaxillary Bypass -1예 보고 -

30세 여자 환자가 어지러움증과 심계항진을 주소로 입원하였다. 양측 상지 및 양측 총경동맥에서 맥박이 촉지되지 않았으며, 대동맥 조영술상 무명동맥과 양측 총경동맥이 심하게 좁아져 있었고 양측 쇄골하동맥은 완전 폐쇄되어 있었다. 제Ⅰ형의 Takayasu 동맥염으로 진단하고 뇌 혈류 개선과 양측 상지의 혈류 개선을 위해 수술을 시행하였다. 4개의 서로 다른 절개를 통해 상행 대동맥, 양측 경동맥, 양측 쇄골하동맥, 양측 액와동맥을 노출시키고 인조 혈관을 이용하여 상행 대동맥-양측 총경동맥-양측 액와동맥 간의 우회술을 시행하였으며, 수술 후 어지러움증과 심계항진은 사라졌다.