Korean J Thorac Cardiovasc Surg.  2018 Dec;51(6):399-402. 10.5090/kjtcs.2018.51.6.399.

A Minimally Invasive Approach for the Treatment of Mid-Aortic Syndrome in Takayasu Arteritis

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. jbkim1975@amc.seoul.kr

Abstract

A 61-year-old woman who presented with claudication and dyspnea on exertion was found to have severe calcified narrowing of the descending aorta and severe insufficiency of the aortic valve. These findings were compatible with Takayasu arteritis. To treat these hemodynamic abnormalities, extra-aortic bypass surgery combined with replacement of the aortic valve and ascending aorta-to-hemiarch replacement was performed through a separated upper hemi-sternotomy and limited median laparotomy. We present our successful surgical experience with this case.

Keyword

Takayasu arteritis; Aortic bypass surgery; Minimally invasive surgery; Thoracic aorta

MeSH Terms

Aorta, Thoracic
Aortic Valve
Dyspnea
Female
Hemodynamics
Humans
Laparotomy
Middle Aged
Minimally Invasive Surgical Procedures
Takayasu Arteritis*
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