Reversible Cerebral Damage Following Bilateral Ascending Aorta-Internal Carotid Artery Bypass Operation for Aortitis Syndrome: A Case Report.

VernacularTitle:上行大動脈‐両側内頚動脈バイパス術後可逆性脳障害をきたした大動脈炎症候群の一治験例
Author: Yoshiro YOSHIKAWA ; Kanji KAWACHI ; Kiyoshi INOUE ; Yoichi KAMEDA ; Kozo KANEDA ; Yoshiaki KONDO ; Hiroji HAGIHARA ; Soichiro KITAMURA
Publication Type:Journal Article
Keywords: hyperperfusion syndrome
From:Japanese Journal of Cardiovascular Surgery 1992;21(3):274-277
CountryJapan
Language:Japanese
Abstract: Aortitis is an inflammatory arteriopathy that often progresses to obliteration of multiple large arteries. Surgical treatment for obstructive lesions due to aortitis syndrome therefore is difficult in many cases. The patient was a 23-year-old female who at the age of 19 had been diagnosed as aortitis syndrome with cerebral vessel involvement, and she subsequently received steroids. She increasingly experienced syncopal attacks, and was indicated for surgical treatment. Angiography revealed obstruction of the left common carotid and left subclavian arteries, and severe stenosis of the right common carotid and right vertebral arteries. She underwent bilateral ascending aorta-carotid artery bypass operation with 7mm ring-supported EPTFE grafts. After the operation she developed clinical signs of temporary brain damage due to hyperperfusion syndrome, but she now completely recovered and maintains a good clinical condition.