Mesenteric Infarction in Takayasu's Disease

Nussaume, O; Bouttier, Samuel; Duchatelle, J P; Valere, P. E.; Andréassian, B

doi:10.1007/bf02001364

Cited by 14 publications

(7 citation statements)

References 11 publications

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“…However, both fatal mesenteric infarction and successful visceral artery reconstruction have been reported. 43,44 Only one of 98 celiac or mesenteric vascular lesions was repaired in the present series. Aorto-iliac or aorto-femoral bypass is appropriate for incapacitating lower limb claudication due to aortic bifurcation stenosis.…”

Section: Discussionmentioning

confidence: 83%

Comprehensive Vascular and Endovascular Surgery

Harris

2005

ANZ Journal of Surgery

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Background: Takayasu's arteritis is a condition of unknown aetiology with an unpredictable natural history. Most of the literature available has originated from Asia, with a few contributions from Africa where the pattern of the disease may be different. This is a single institution's experience review. Methods: Data were obtained retrospectively from the angiographic and medical records of patients treated at Groote Schuur Hospital over the period 1952-2002. The criteria for inclusion were those proposed by the Aortitis Syndrome Research Committee of Japan and the American College of Rheumatology. Results: Two hundred and seventy-two patients were identified. The mean age at presentation was 25 years (range 14-66 years) and 75% were female. Only 8% were Caucasian. Hypertension was the most common presentation (77%) and was usually a consequence of renal artery stenosis or aortic coarctation. Cardiac failure was the most common problem. Cerebrovascular symptoms were recorded in 20%. Convincing evidence of tuberculosis was present in 20%. The entire aorta was involved in 70% of cases. Thirty per cent had aortic bifurcation involvement. Occlusions were noted in 93% and aneurysms in 46%. Vascular reconstruction was performed on 115 occasions in 99 patients, with an operative mortality of 4%. Cardiac failure was the usual cause of death. One hundred and six patients (39%) were followed for a minimum of 5 years. No further progression of disease was noted in 70 patients. Conclusion: The natural history and prognosis of Takayasu's arteritis still remain poorly defined.

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Section: Discussionmentioning

confidence: 83%

Comprehensive Vascular and Endovascular Surgery

Harris

2005

ANZ Journal of Surgery

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“…Superior mesenteric artery thrombosis in a patient with antiphospholipid syndrome has been reported previously [1]. Occlusion of the coeliac and hepatic artery has been described in patients with Behcet’s syndrome [2], who have anticardiolipin antibodies, but also occurs in Takayasu’s disease [3]and in association with smoking and oral contraceptive use [4]. Combined hepatic artery and portal venous occlusion secondary to any cause has not been reported previously.…”

Section: Introductionmentioning

confidence: 91%

Combined Hepatic Artery and Segmental Portal Vein Occlusion in Antiphospholipid Syndrome

Praseedom

Jalan²,

Allan³

et al. 2000

Dig Surg

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Antiphospholipid syndrome can have various clinical presentations, two of the most common being arterial and venous thrombosis. It is, however, unusual for them to occur in combination. We report here a case of combined hepatic artery and segmental portal venous occlusion in a 32-year-old patient who was shown to have a lupus anticoagulant. There have been no previous reports of thrombosis occurring simultaneously in the coeliac axis and the portal vein. Computerised tomography, Doppler ultrasound scanning and selective visceral angiography were used to demonstrate the anatomical lesions. The patient was treated medically with unfractionated heparin leading to a favourable clinical outcome. The diagnosis and management of this case is discussed with reference to the current literature on visceral thrombosis and antiphospholipid antibody syndrome.

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“…B. bei der Beschichtung der implantierten Stents. Es gibt einige Berichte von erfolgreichen Interventionen auch im akuten Stadium [15,24], ebenso aber auch mit tödlichem Ausgang [20,22]. [20].…”

Section: Im Klinisch Hochaktiven Stadium Derunclassified

“…Es gibt einige Berichte von erfolgreichen Interventionen auch im akuten Stadium [15,24], ebenso aber auch mit tödlichem Ausgang [20,22]. [20]. Es treten vorwiegend Stenosen im Bereich der Gefäßabgänge auf, Aneurysmen sind hier selten [14].…”

Section: Im Klinisch Hochaktiven Stadium Derunclassified

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Fulminanter Verlauf einer Takayasu-Arteriitis und seltener mesenterialer Gefäßbefall

et al. 2006

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Takayasu's arteritis is a systemic disease, presenting as chronic inflammation of the main arteries. It usually affects the aorta and its large branches. General symptoms often include fatigue, subfebrile temperatures and weight loss. Complaints due to perfusion disorders are, for example, muscle pain, dizziness or claudication. Takayasu's arteritis is a rare disease which generally occurs in female patients under 40 years of age. We report on a patient with primary involvement of the mesenteric arteries. The disease process was fulminant and refractory to all therapeutic strategies. According to our knowledge this is the first case report from Germany of Takayasu's arteritis with mesenteric infarction.

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Mesenteric Infarction in Takayasu's Disease

Cited by 14 publications

References 11 publications

Comprehensive Vascular and Endovascular Surgery

Comprehensive Vascular and Endovascular Surgery

Combined Hepatic Artery and Segmental Portal Vein Occlusion in Antiphospholipid Syndrome

Fulminanter Verlauf einer Takayasu-Arteriitis und seltener mesenterialer Gefäßbefall

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