Diagnosis and Surgical Treatment of a Takayasu Disease on an Abdominal Aortic Dissection

Khalife, Theresa; Alsac, Jean-Marc; Lambert, Marc; Messas, Emmanuel; Huyen, Jean–Paul Duong Van; Bruneval, Patrick; Farahmand, Patrick; Julia, Pierre; Fabiani, Jean‐Noël

doi:10.1016/j.avsg.2010.12.013

Cited by 18 publications

(16 citation statements)

References 21 publications

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“…Hypertension was present in 100% (5 of 5) of suprarenal IAAD patients and in 56.5% (13 of 23) of infrarenal patients (P ¼ .13). One patient had Takayasu arteritis, 10 and two patients had pre-existing abdominal aortic aneurysm (AAA). IAAD was considered to be spontaneous in all patients.…”

Section: Resultsmentioning

confidence: 99%

Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

Zhu

Lai

et al. 2015

Journal of Vascular Surgery

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Section: Resultsmentioning

confidence: 99%

Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

Zhu

Lai

et al. 2015

Journal of Vascular Surgery

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“…L'atteinte aortique concerne environ 60% des patients, mais les dissections de l'aorte sont des complications extrêmement rares [5]. L’épidémiologie de cette maladie et les lésions préférentielles des vaisseaux selon les régions géographiques et selon l’âge des patients est loin d’être éclairée.…”

Section: Discussionunclassified

“…Parmi ces 14 cas on trouve 4 cas de dissection abdominale, 6 cas de dissection de l'aorte ascendante et 2 dissections thoracique [5]. Notre cas n'a pas été rapporté dans la littérature.…”

Section: Discussionunclassified

Dissection de l’aorte thoracique descendante et de l’aorte abdominale dans la maladie de Takayasu : à propos d’un cas

Zaghdoudi¹,

Bukta²,

Mongalgi³

et al. 2014

Pan Afr Med J

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La dissection aortique est une complication très rare de la maladie de Takayasu. Dans la littérature récente seulement 14 cas ont été publiés. Nous rapportons le cas d'un maghrébin âgé de 67 ans, présentant une dissection aigue de l'aorte thoracique descendante et de l'aorte abdominale avec un syndrome inflammatoire, révélateur d'une maladie de Takayasu. Le type de l'atteinte aortique (type III b, selon la classification de De Bakey et Standford) confirmé par angioscanner chez notre patient, n'a pas été rapporté. Il nous parait que l'artérite de Takayasu est sous-estimée chez les malades dépassant l’âge de la 4ème décennie. La forme tardive de cette pathologie pose un problème de diagnostic différentiel avec la maladie de Horton, selon les critères d’âge et d'ethnie. Actuellement la majorité des auteurs donnent la priorité à l'imagerie médicale, avec ou sans syndrome inflammatoire pour la confirmation du diagnostic de la maladie de Takayasu.

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“…Surgical treat- ment is reported to be challenging due to the diffuse nature of the disease and involvement of adjacent aortic walls. A high incidence of anastomotic aneurysm formation and graft failure was reported [5,6]. In a report of 26 patients after a mean follow-up period of five years, it was suggested that surgical treatment of aortic lesions of the abdominal aorta in TA must be reserved for patients whose arterial hypertension is not under control despite medical treatment due to frequently occurring late degeneration of repairs [7].…”

Section: Discussionmentioning

confidence: 99%

A young woman with Takayasu arteritis: surgical and anesthetic management of Bentall procedure in a patient with abdominal aortic aneurysm and renal artery stenosis

Baysal¹,

Rabuş²,

Alsalehi³

et al. 2013

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StreszczenieZespół Takayasu (Takayasu's arteritis -TA) jest rzadką formą przewlekłego zapalenia naczyń obejmującą duże tętnice. W pracy przedstawiono przypadek 19-letniej pacjentki z TA, która przeszła leczenie trwające 12 miesięcy. Pacjentka została przyjęta do szpitala z powodu niedomykalności zastawki aortalnej i poszerzenia aorty do 6 cm. Wyniki laboratoryjnych badań biochemicznych były w normie. Nie zaobserwowano komplikacji. Leczenie chirurgiczne TA powinno być odraczane na czas trwania aktywnej fazy choroby ze względu na zwięk-szone krwawienie, kruchość tkanek oraz zwiększone ryzyko zakrzepicy. Przeprowadzenie udanego zabiegu chirurgicznego bez wystąpienia pooperacyjnych komplikacji wymaga zastosowania adekwatnego leczenia przed zabiegiem i w jego czasie. Słowa kluczowe: choroba Takayasu, zapalenie naczyń, aorta brzuszna, tętniak. CASE REPORTS AbstractTakayasu's arteritis (TA) is a rare form of chronic vasculitis involving large arteries. We present the case of a 19-year-old female patient diagnosed with TA, whose medical treatment lasted a period of twelve months. The patient was admitted due to aortic regurgitation and enlargement of the aorta up to 6 cm. Her biochemical laboratory data were normal. Angiographic studies showed occlusive disease as well as aneurysms in the abdominal aorta and left renal artery, which are considered to be significant sources of postoperative complications. Hemodynamic parameters were well regulated throughout the surgery. No complications were recorded. Surgery for TA should be deferred during the active phase of the disease due to increased bleeding, friable tissue, and increased risk of thrombosis. Appropriate medical treatment before and during surgery is required to perform a successful surgical procedure without the development of postoperative complications.

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Diagnosis and Surgical Treatment of a Takayasu Disease on an Abdominal Aortic Dissection

Cited by 18 publications

References 21 publications

Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

Dissection de l’aorte thoracique descendante et de l’aorte abdominale dans la maladie de Takayasu : à propos d’un cas

A young woman with Takayasu arteritis: surgical and anesthetic management of Bentall procedure in a patient with abdominal aortic aneurysm and renal artery stenosis

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