• 제목/요약/키워드: Takayasu

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Extra-anatomic Aortic Bypass for the Management of Mid-Aortic Syndrome Caused by Takayasu arteritis

  • Yun, Jae Kwang;Kim, Joon Bum
    • Journal of Chest Surgery
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    • 제48권1호
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    • pp.70-73
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    • 2015
  • Lower limb ischemia caused by multiple stenosis of the thoracoabdominal aorta is one of the rare clinical manifestations of Takayasu arteritis. The optimal management of such mid-aortic syndrome related with Takayasu arteritis has not been established to date. Here we report a case of extra-anatomic aortic bypass through minimally invasive techniques to treat lower limb ischemia caused by Takayasu arteritis.

중년 여자 환자에서 Takayasu 동맥염에 의한 복부 대동맥의 삭양 폐쇄 - 수술치험 1례- (Cord-like Atresia of the Abdominal Aorta Due to Takayasu Arteritis in Middle Aged Woman - A case Report -)

  • 이봉근;조성래;조봉균;이재화;조영덕
    • Journal of Chest Surgery
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    • 제34권11호
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    • pp.870-874
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    • 2001
  • Takayasu 동맥염은 만성 비특이성 동맥염으로 젊은 여자에 호발하며 대동맥궁의 분지 혈관이나 신동맥 등 여러 혈관들을 광범위하게 침범하여 폐쇄를 일으키는 질환으로 알려져 있다. 최근 나이가 많은 52세의 여자 환자에서 신동맥 이하의 복부 대동맥에만 국한적으로 침범하여 삭did(cord-like) 폐쇄를 일으킨 Takayasu 동맥염의 비교적 드문 예를 경험하고 18mm PTFE(polytetrafluoroethylene) 인조혈관을 이용하여 하행 흉부 대동맥과 총장골동맥 분기 직상부 복부 대동맥 사이에 측단 우회술을 시행하여 좋은 결과를 얻었기에 보고한다.

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Takayasu 동맥염에 의한 양측 관상동맥 개구부 협착의 개구부 혈관 성형술 - 1례 보고 - (Angioplasty of Bilateral Coronary Ostial Stenosis in a Patient with Takayasu's Arteritis - A case report -)

  • 이응석;정은규;손국희;윤용한;김광호;백완기
    • Journal of Chest Surgery
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    • 제34권12호
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    • pp.944-947
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    • 2001
  • Takayasu 동맥염에서 관상동맥의 침범은 비교적 드물게 나타나며 일단 동반되면 치명적이지만 외과적으로 교정될 수 있는 질환이다. 환자는 28세 여자로 내원 2개월 전부터 발생한 심계항진을 동반한 어지럼증 및 두통과 좌상지의 파행(claudication)을 주소로 내원하였다. 대동맥조영술 및 관상동맥조영술 시행 결과 양측 관상동맥 개구부 협착을 동반한 Takayasu 동맥염으로 진단되어 복재정맥을 이용한 첨포이식편(patch graft)으로 양측 관상동맥 개구부 성형술을 받은 후 별 다른 문제없이 퇴원하였다. 이에 문헌고찰과 함께 보고하는 바이다.

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Takayasu 동맥염에서 aorto-bicarotid-subclavian bypass수술 1예 (Aorto-bicarotid-subclavian Bypass in Takayasu`s Arteritis - One case report -)

  • 이진명
    • Journal of Chest Surgery
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    • 제25권3호
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    • pp.330-334
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    • 1992
  • Takayasu`s arteritis is a non-specific arteritis involving the aorta and its major branches. Because of the complexity in the feature of vessel involvement, it represents various clinical presentations according to the sites of involvement. In general, the medical and the surgical treatment of this progressive disease are known to be unsatisfactory but the surgical treatment can provide symptomatic relief and prolong life in selected cases. Recently we experienced one case of Takayasu`s arteritis involving the aortic arch and its major branches. A 45 year-old male patient admitted with the complaints of dizziness, headache, visual disturbance and coldness of upper extremities. Ascending aortogram revealed total occlusion of innominate artery and near total occlusion of left common carotid artery at the site of origin of both vessels. Under the clinical diagnosis of Takayasu`s arteritis, aorto-bicarotid-right subclavian bypass was performed. Postoperative course was uneventful and most of symptoms were relieved except mild residual visual disturbance.

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Takayasu 동맥염에 병발한 관상동맥질환 치험 1예 (Surgical Correction of the Coronary Artery Disease in Takayasu`s Arteritis)

  • 정윤섭;송명근
    • Journal of Chest Surgery
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    • 제24권3호
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    • pp.296-302
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    • 1991
  • Coronary artery involvement and myocardial ischemic symptom in Takayasu`s arteritis is uncommon Its presentation as coronary artery narrowing is a potentially lethal but correctable problem. In this case report, a 17-year-old woman of Takayasu`s arteritis with unstable anginal and moderate heart failure is presented. Her coronary angiogram showed that the main trunk of the left coronary artery was moderately narrowed and the proximal portion of the circumflex branch was severely obstructed and the right coronary artery was also narrowed diffusely. Simultaneously the patient had the moderate degree of mitral regurgitation. In order to save her life, the coronary bypass surgery using the saphenous veins and the modified Wooler`s mitral annuloplasty were done urgently, Immediate recovery was uneventful and the postoperative exercise capacity was markedly improved. But the long-term prognosis seems to be uncertain because of 3 reasons: 1] natural progress and complication of Takayasu`s arthritis; 2] fate of the saphenous vein grafts in a relatively young patient with aortitis; 3] residual mitral regurgitation. So long-term follow-up should be needed.

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Takayasu 동맥염에 동반된 심판막질환에서의 삼중판막수술 치험 1례 (Double valve replacement in Takayasu's disease -Report of one case-)

  • 강면식
    • Journal of Chest Surgery
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    • 제19권4호
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    • pp.688-694
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    • 1986
  • Takayasu`s disease is an arteritis of unknown etiology involving larger elastic arteries such as aorta and its branches, pulmonary arteries and rarely coronary arteries. Especially, aortic root involvement with the valvular leaflets has been reported in several cases of Takayasu`s arteritis. Recently we have experienced one case of Takayasu`s arteritis involving left subclavian artery, descending aorta, left renal artery and multiple valvular leaflets. The patient was 33 year-old female and admitted with complaints of cough, dyspnea and general weakness. Aortogram revealed extensive type of arteritis showing dilatation of ascending aorta, segmental narrowing of thoracic aorta and Riolan`s anastomosis. Double valve replacement [mitral and aortic valve] and tricuspid valve annuloplasty were performed. The patient made an excellent postoperative recovery and has shown striking improvement in cardiac status, NYHA functional class II eight months after operation.

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Takayasu 동맥염에 의한 하행흉부대동맥 협착의 수술치험 -2례 보고- (Surgical Correction of the Stenosis of Descending Thoracic Aorta in Takayasu's Arteritis)

  • 서강석
    • Journal of Chest Surgery
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    • 제27권5호
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    • pp.394-398
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    • 1994
  • Takayasu`s arteritis is one of chronic inflammatory disease characteristically involving the aorta and it`s major branches. We experienced two surgical cases of Takayasu`s arteritis associated with the stenosis of the descending thoracic aorta. One case was 15 year-old girl and she was admitted because of dyspnea on exertion for 12 months. Aortogram showed the stenosis of the descending thoracic aorta from just below left subclavian artery to the 9th thoracic vetebra. The other case was 10 year-old girl and she was admitted because of URI and hypertension. Aortogram showed narrowing of right innominate artery, but developed collateral circulation, and the stenosis of the descending thoracic aorta near the 9th thoracic vertebra. In each case, bypass graft from the ascending aorta to the abdominal aorta just above the inferior mesenteric artery was performed with satisfactory result.

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Takayasu 동맥염에서 Aorto-bicarotid-biaxillary Bypass -1예 보고 - (Aorto-bicarotid-biaxillary Bypass in Takayasu′s Arteritis -One case report-)

  • 김대현;이인호;윤호철;김수철;김범식;조규석;박주철
    • Journal of Chest Surgery
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    • 제37권2호
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    • pp.176-179
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    • 2004
  • 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.

Takayasu 질환에서 신성 고혈압을 동반한 복부 대동맥 협착 수술 치험 - 1례 보고 - (Takayasu`s Disease Associated with Abdominal Coarctation and Renovascular Hypertension - Report of one case -)

  • 이종락
    • Journal of Chest Surgery
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    • 제23권4호
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    • pp.791-798
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    • 1990
  • Takayasu’s disease produces the occlusive and aneurysmal lesions of major branches of the aorta. Angiography is the most important diagnostic procedure in Takayasu’s disease. Surgical treatment is often justified to avoid the possible lethal consequences of hypertension on the heart, kidney, and brain, as well as in the case of aneurysm because of its risk of rupture. We experienced one case of the Takayasu’s disease associated with abdominal coarctation and renovascular hypertension. The patient was 17 years old female and had suffered from hypertension for 14 months. On physical examination, BP was 150/100 mmHg in the right arm and 120/80 mmHg in the left arm. The pulses of the left brachial and femoral arteries were weakly palpable. Aortogram showed the stenosis of the left common and subclavian arteries, coarctation of the abdominal aorta, and stenosis of the right renal artery and complete occlusion of the left renal artery. The stenosis of the right renal artery and the occlusion of the left renal artery produced the renovascular hypertension. She underwent aorta-aortic bypass for the coarctation of the abdominal aorta and aorta-renal bypass for treatment of renovascular hypertension Postoperatively, both femoral pulses were equally palpable. On discharge, antihypertensive drugs were discontinued. She has remained normotensive for last one year.

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