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Extra-Anatomic Ascending Aorta to Abdominal Aorta Bypass in Takayasu Arteritis Patients with Mid-Aortic Syndrome
| Content Provider | Semantic Scholar |
|---|---|
| Author | Choi, Jae-Woong Hwang, Ho Young Ahn, Hyuk |
| Copyright Year | 2017 |
| Abstract | BACKGROUND We evaluated the operative outcomes of an extra-anatomic bypass from the ascending aorta to the abdominal aorta in patients with type II or III Takayasu arteritis (TA) with mid-aortic syndrome. METHODS From 1988 to 2014, 8 patients with type II (n=2) or III (n=6) TA underwent an ascending aorta to abdominal aorta bypass. The mean patient age was 43.5±12.2 years and the mean peak pressure gradient between the upper and lower extremities was 54.8±39.0 mm Hg. The median follow-up duration was 54.4 months (range, 17.8 to 177.4 months). RESULTS There were no cases of operative mortality. The mean peak pressure gradient significantly decreased to -2.4±32.3 mm Hg (p=0.017 compared to the preoperative value). Late death occurred in 2 patients. The symptoms of upper extremity hypertension and claudication improved in all patients. The bypass grafts were patent at 47.1±58.9 months in 7 patients who underwent follow-up imaging studies. CONCLUSION An extra-anatomic ascending aorta to abdominal aorta bypass could be an effective treatment option for severe aortic steno-occlusive disease in patients with type II or III TA, with favorable early and long-term outcomes. |
| Starting Page | 270 |
| Ending Page | 274 |
| Page Count | 5 |
| File Format | PDF HTM / HTML |
| DOI | 10.5090/kjtcs.2017.50.4.270 |
| PubMed reference number | 28795032 |
| Journal | Medline |
| Volume Number | 50 |
| Journal | The Korean journal of thoracic and cardiovascular surgery |
| Alternate Webpage(s) | https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/41/kjtcv-50-270.PMC5548203.pdf |
| Alternate Webpage(s) | https://doi.org/10.5090/kjtcs.2017.50.4.270 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
