2016
DOI: 10.1016/j.avsg.2015.12.015
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Middle Aortic Syndrome in Takayasu’s Arteritis: Report of Two Surgical Cases

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Cited by 13 publications
(14 citation statements)
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“…Reinterventions for recurrence of symptoms included one case of repeat aortic reconstruction secondary to life-style limiting claudication; this experience has been previously published. 12 The second re-intervention was an ascending aorta to bilateral carotid artery bypass to treat recurrent TIAs, a major complication occurred associated with brain reperfusion oedema, and this patient died during the 30 day postoperative period; another death occurred from pneumonia unrelated to the surgery. Fig.…”
Section: Resultsmentioning
confidence: 98%
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“…Reinterventions for recurrence of symptoms included one case of repeat aortic reconstruction secondary to life-style limiting claudication; this experience has been previously published. 12 The second re-intervention was an ascending aorta to bilateral carotid artery bypass to treat recurrent TIAs, a major complication occurred associated with brain reperfusion oedema, and this patient died during the 30 day postoperative period; another death occurred from pneumonia unrelated to the surgery. Fig.…”
Section: Resultsmentioning
confidence: 98%
“…3A-C). 12 Although experience is relatively limited, the durability of open surgical revascularisation has shown superior and longer patency rates than endovascular treatment, and this is the preferred approach for complex and long occlusions. 2,5 In the present series endovascular attempts were performed for short and localised stenotic lesions in symptomatic patients.…”
Section: Discussionmentioning
confidence: 99%
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“…The pathogenesis of this disease remains unclear. 4,5 The clinical course of TA is thought to progress through nonspecific systemic symptoms such as fatigue, low-grade fever, and weight loss, and depending on the vessels involved, through a wide variety of vascular or ischemic manifestations. 6,7 Aortic coarctation and TA have clinical similarities which should be kept in mind during diagnostic work up.…”
Section: Discussionmentioning
confidence: 99%
“…The use of multi-branched grafts with direct end to end anastomosis to the visceral vessels leads to low morbidity and mortality with excellent vessel patency and preservation of kidney function. The formation of pseudoaneurysms in the anastomotic sites following the aortic reconstruction in patients with connective tissue disorders or vasculitis is a severe complication, and it has to be prevented by reinforcing sutures with felt pledgets as we have previously described [ 11 , 12 ]. In this particular case, the anastomosis with the thoracic stent graft allowed to minimize to surgical time to complete the aortic repair with the five branched tube graft safely and without complication.…”
Section: Discussionmentioning
confidence: 99%