An Experience of Takayasu's Arteritis Involving Vertebral Arteries: A case report .
- Author:
Geun Eun KIM
;
Tae Won KWON
;
Kyu Bo SUNG
- Publication Type:Case Report
- Keywords:
Takayasu's arteritis
- MeSH:
Aneurysm;
Angioplasty;
Aorta;
Arm;
Axillary Artery;
Constriction, Pathologic;
Dizziness;
Extremities;
Female;
Heart Failure;
Humans;
Hypertension, Renovascular;
Ischemia;
Renal Insufficiency;
Stents;
Takayasu Arteritis*;
Upper Extremity;
Vertebral Artery*;
Young Adult
- From:Journal of the Korean Surgical Society
1998;54(2):299-304
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Takayasu's arteritis(arteritis syndrome) is an inflammatory disease process affecting primarily the aorta and its main branches. It's etiology and pathogenesis are unknown. Controversy exists in treatment. Segmental stenoses, occlusions, and aneurysmal degeneration of the aorta and the proximal arterial tree are frequent findings. Clinical presentations may include cerebrovascular ischemia, limb ischemia, aortic valvular insufficiency, heart failure, renovascular hypertension, or renal failure. Recently, we experienced a case of Takayasu's arteritis in a 24 years old female with severe dizziness, claudication in right upper extremity. Patient was treated by angioplasty of left vertebral artery and concomitant left subclavian-to-right axillary artery bypass surgery followed by percutaneous transluminal angioplasty with stent therapy of right vertebral artery to prevent cerebrovascular ischemia during the operation. Postoperative result was excellent and dizziness and claudication of right arm were completely relieved.
