Pitfalls in the management of isolated pulmonary Takayasu's arteritis after surgery: a case report of an experience during 34 months after a pulmonary artery graft replacement

Journal of Cardiothoracic Surgery
Kishu FujitaMasahiko Kurabayashi

Abstract

Several controversial matters still remain unresolved in the management of Takayasu's arteritis, especially after vascular intervention. First, a definitive diagnostic tool has not been established to assess disease activity correctly. Second, the optimal medical regimen has not been established to prevent restenosis of the vascular lesion. Surgical treatments have been rarely performed to relieve critical vascular stenosis in isolated pulmonary Takayasu's arteritis, but their postoperative courses on long-term follow-up periods have not been sufficiently reported. A 48-year-old man underwent a successful graft replacement for severe right main pulmonary artery stenosis due to isolated pulmonary Takayasu's arteritis. The patient had remained asymptomatic with no clinical inflammatory signs under adequate anticoagulation therapy since then. However, stenosis of the prosthetic graft accompanied by marked pulmonary hypertension was detected 18 months after surgery. Anti-inflammatory treatment with only 5 mg/day of oral prednisolone was then implemented, and the stenosis remained unchanged with the patient being stable for the next 16 months. This is the first published case report that describes the actual clinical course with a l...Continue Reading

References

Mar 1, 2007·Arthritis and Rheumatism·Kathleen Maksimowicz-McKinnonGary S Hoffman
Apr 17, 2008·Annals of the Rheumatic Diseases·C MukhtyarUNKNOWN European Vasculitis Study Group
Jun 5, 2008·Journal of cardiology·Yusuke FukudaKeijiro Saku
Aug 2, 2011·Seminars in Arthritis and Rheumatism·Kohava ToledanoAlexandra Balbir-Gurman
Oct 27, 2012·Circulation Journal : Official Journal of the Japanese Circulation Society·Takashi IshiharaMitsuaki Isobe

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Citations

Nov 21, 2019·International Journal of Rheumatic Diseases·Azin AlizadehaslLeili Pourafkari
Jul 2, 2021·Current Rheumatology Reports·Joana Martins-MartinhoCristina Ponte

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