"Complex aortic, visceral and renal arteries reconstruction with a four branched Dacron graft for Middle Aortic Syndrome secondary to Takayasu´s Arteritis"

Annals of Vascular Surgery
Gabriel Lopez-PenaCarlos A Hinojosa

Abstract

The Middle Aortic Syndrome (MAS) is an uncommon clinical expression as a result of isolated stenosis or complete occlusion of the descending thoracic and/or abdominal aorta; Takayasu's Arteritis (TA) is a rare vasculitis and a recognized etiology of MAS. We herein present the case of a 52 year old woman with refractory renovascular hypertension and progressive bilateral lower extremity claudication, she had known history of TA. A Computed Tomography Angiography (CTA) demonstrated an aortic occlusive lesion compromising the origin of the celiac trunk, superior mesenteric and bilateral renal arteries. The patient underwent a complex aortic reconstruction with visceral and renal vessels revascularization utilizing a back table hand-crafted four branched Dacron graft through a left thoracoabdominal approach. The patient recovered uneventfully and was discharged on postoperative day five, and at 36 months from her surgery she remains symptoms-free and without antihypertensive agents.

References

Nov 8, 2005·Perspectives in Vascular Surgery and Endovascular Therapy·Konstantinos T Delis, Peter Gloviczki
Jun 21, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S M KimS-K Min
May 14, 2016·Annals of Vascular Surgery·Carlos A HinojosaHugo Laparra-Escareno
Aug 9, 2016·International Journal of Surgery Case Reports·Carlos A HinojosaHugo Laparra-Escareno
Oct 18, 2016·Current Opinion in Rheumatology·Emire Seyahi
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Jan 11, 2020·Annals of Vascular Surgery·Ritesh S PatelSiddharth K Prakash

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Citations

Aug 20, 2021·Vascular and Endovascular Surgery·Taira YamamotoAtsushi Amano

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