A surgically treated case of Takayasu's arteritis complicated by aortic dissections localized in the ascending and abdominal aortae Motomi Ando, MD,

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Presentation transcript:

A surgically treated case of Takayasu's arteritis complicated by aortic dissections localized in the ascending and abdominal aortae Motomi Ando, MD, Yutaka Okita, MD, Osamu Tagusari, MD, Soichiro Kitamura, MD, Hiroshi Matsuo, MD Journal of Vascular Surgery Volume 31, Issue 5, Pages 1042-1045 (May 2000) DOI: 10.1067/mva.2000.103791 Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Preoperative CT findings. Aortic dissections were localized in the ascending aorta (Stanford type A) and the abdominal aorta, and CT showed marked calcification of the descending aorta. T , True lumen; F , false lumen. Journal of Vascular Surgery 2000 31, 1042-1045DOI: (10.1067/mva.2000.103791) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 A , Preoperative angiography and anatomic scheme. B , Postoperative angiography and operative scheme. Ascending aorta and aortic arch replacement and extra-anatomic bypass grafting from right axillary artery to femoral artery were performed. Journal of Vascular Surgery 2000 31, 1042-1045DOI: (10.1067/mva.2000.103791) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 A , Intraoperative findings. A dissecting flap was detected at the proximal portion of the ascending aorta, and there were old thrombi in the false lumen. T , True lumen; F , false lumen. B , Pathologic findings of the specimen of the ascending aorta. Severe disruption and fibrosis were observed in the media, demonstrating the scar stage of Takayasu's arteritis (Elastica van Gieson stain). Journal of Vascular Surgery 2000 31, 1042-1045DOI: (10.1067/mva.2000.103791) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions