• Journal of Chest Surgery
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• 제37권1호
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• pp.88-91
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• 2004

Takayasu씨 동맥염 환자에서 대동맥판막 폐쇄부전은 종종 발생하는 합병증이다. 급성 및 진행성 염증으로 대동맥의 뇌혈관 분지에 협착 또는 폐쇄를 가진 환자에서 실신 등의 허혈성 뇌증상은 대동맥판막 폐쇄부전증의 합병으로 더 악화될 수 있다. 양측 경동맥의 폐쇄와 양측 척추동맥의 협착, 우관상동맥의 폐쇄, 대동맥판막 폐쇄부전증으로 실신 및 호흡곤란을 호소하는 34세 남자 환자에서 수술 전후에 스테로이드의 투여, 양측 쇄골하 동맥에 스텐트의 삽입 및 대동맥판막 치환술로써 증상의 호전을 가져올 수 있었다.

• Journal of Chest Surgery
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• 제47권6호
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• pp.556-559
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• 2014

We report a case of successful endovascular treatment of a pseudoaneurysm and the obstruction of an aorto-aortic bypass graft, which had been performed to treat Takayasu's arteritis fifteen years prior, at the thoracic aorta. Along with the immediate relief of proximal hypertension that had caused severe heart failure, the successful exclusion of the pseudoaneurysm and the patency of the stem graft were maintained three years after the procedure.

• Journal of Chest Surgery
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• 제27권2호
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• pp.170-173
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• 1994

Isolated stenotic lesion located at the ostium of the left main coronary artery associated with Takayasu`s aortitis is quite rare. This report herein described a case of 25 year old woman with isolated ostial stenosis of the left main coronary artery underwent pericardial patch [fixed with 0.6 % glutaraldehyde] angioplasty. An anterior approach was used and postoperative coronary angiogram of the patient showed normal coronary ostial contour with normal runoff.

• Tuberculosis and Respiratory Diseases
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• 제48권6호
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• pp.964-972
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• 2000

저자들은 타카야수동맥염에 의한 만성 폐고혈압 환자 3예를 대상으로 혈관확장제 (NO 및 molsidomine)가 이들의 폐고혈압을 완화시킬 수도 있음을 관찰하였으며, 이와 관련하여 보다 많은 연구가 이루어져야 하리라 생각된다.

• Journal of Chest Surgery
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• 제17권4호
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• pp.709-714
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• 1984

The Takayasus arteritis is the obstructive disease in the principal branches arising from the aortic arch, and it can cause circulatory disturbances in the head or arms. We have experienced a case of complete obstruction of the left subclavian artery, the patient was undergone surgical repair with Knitted-Dacron patch graft between the left common carotid artery and the left subclavian artery. After operation, there were no symptoms except hypertension, and also no postoperative complications were seen. In the postoperative aortogram, the patency of the graft was good. The postoperative course was eventful and he has been in good conditions up to now so far.

• Journal of Yeungnam Medical Science
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• 제40권4호
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• pp.448-453
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• 2023

Takayasu arteritis (TA) is a disease that causes inflammation and stenosis of medium to large blood vessels. We report a case of a 50-year-old female patient with newly developed hypertension, syncope, and claudication of the extremities. Total occlusion of the left subclavian artery at the origin was found and significant stenosis of the right common iliac artery was revealed by hemodynamic analysis. She was successfully treated with percutaneous angioplasty for multiple peripheral arterial diseases and was finally diagnosed with TA. In consultation with a rheumatologist, medical treatment for TA was initiated, the patient's hypertension disappeared, and her claudication symptoms improved.

• 보험의학회지
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• 제31권1호
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• pp.19-28
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• 2012

Nowadays, Rheumatic diseases are increasing more and more. So, it's important knowing the pathophysiology and extra-risk of each rheumatic disease so as to do sound underwriting. Here is brief review and long-term prognosis of some rheumatic diseases such as rheumatoid arthritis, systemic lupus erythematosus, Sj$\ddot{o}$gren syndrome, antiphospholipid syndrome, systemic sclerosis, ankylosing spondylitis, Takayasu's arteritis, and Behcet syndrome.

• Journal of Chest Surgery
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• 제9권2호
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• pp.251-264
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• 1976

Forty three patients with disease of the aorta were admitted in this department during the period from beginning of 1956 to the end of 1976. They consisted of eighteen cases of aortic aneurysms, eight cases of Takayasu's arteritis, eight Leriche syndromes, six dissecting aneurysms, two aortic coarctations and one case of vascular ring. Of eighteen aortic aneurysms, twelve were operated resulting in eight survivors. Three of four mortalities were in shock preoperatively because of aneurysmal rupture. Among six dissecting aortic aneurysms, four were type III and two were type I according to DeBakey's classification. For the purpose of relief of acute arterial insufficiency in the lower extremities, a re-entry operation grafting a Y-shaped dacron vessel between abdominal aorta and common iliac arteries was performed. The patient regained consciousness soon after the operation and was well until postoperative second day, when severe convulsion developed abruptly and died. And in a chronic case of type III dissecting aneurysm, a dacron graft bypass shunt between ascending aorta and lower descending thoracic aorta with resection of the aneurysm was performed, but acute severe aortic insufficiency developed soon after the operation and fell into intractable heart failure resulting in death. The cause of the aortic insufficiency seems to be retrograde dissection from the proximal anastomosis site in the ascending aorta. Three cases were treated medically with Wheat's regimen. Two of them survived with relief of symptoms. Eight patients of Takayasu's arteritis were all females and aged between twenty and forty-four averaging twenty nine. Bypass graft operation between aortic arch and carotid arteries using Y-shaped nylon prostheses were performed in three patients resulting in death in two cases postoperatively due to severe cerebral arterial insufficiency during the procedure. All the patients with Leriche syndrome were males and over forty. In two cases, bypass graft with Y-shaped dacron vessel between terminal aorta and common iliac or femoral arteries were performed with good result. Thromboembolectomy or thromboendarterectomy was employed in three patients, of whom one was aggravated in sexual problem postoperatively. One out of two aortic coarctations and a vascular ring were treated surgically with excellent results.

• Journal of Chest Surgery
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• 제29권4호
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• pp.393-396
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• 1996

본 인제대학교 서울백병원 흉부외 과에서는 지난 8년간 술전 적극적 인 항고혈압제 투여에도 불구하 고 혈압 조절에 실패한9명의 신혈관성 고혈압 환자를 수술 치험하였다. 수술방법은9명중8명에서는 자가복재 정맥을 이용한 대동맥 신동맥간우회술을시행하였으며,나머지 1명은내장골동맥을이용한 신동맥 재건술을 시행하였다. 술후 9명의 환자중 사망한 예는 없었으며, 수술전후 비교한 혈압 수치의 선정 기준은, 술전에는 환자의 여러 차례 측정된 혈압중 대표적 인 혈압수치로 선정하였고, 술후혈압은 최종적으로 외래 추적 관찰한 혈 압수치를 선정 하였다. 술후 장기 추적한 걸과 9명의 환자 모두에서 혈압 호전을 보여 좋은 수술 결과를 얻었기 에, 중증 신혈관성 고혈압환자에 있어서 수술적 치료가 가장 효과적이고 유용한 치료법으로 생각 되는 바이다.

• 대한영상의학회지
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• 제84권6호
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• pp.1378-1383
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• 2023

폐동맥 육종은 매우 드문 고등급 악성종양으로, 주로 근위부의 탄력형 폐동맥에, 대개는 종양 충만(tumoral impaction)의 형태로 나타난다. 임상양상과 영상학적 소견이 유사하여 주로 폐 혈전색전증으로 오인되며 가끔 혈관염으로 오인되기도 한다. 우리는 비교적 드문 위치와 형태로 인해 폐 혈전색전증과 혈관염으로 오인했던 폐동맥 내막육종을 경험하였기에 문헌고찰과 더불어 증례를 보고하고자 한다.