Extra-anatomical Bypass Grafting Combined with Bilateral Renal Artery Reconstruction for a Case with Atypical Coarctation Due to Aortitis Syndrome
10.4326/jjcvs.24.260
- VernacularTitle:大動脈炎症候群による異型大動脈縮窄症に対し, 上行大動脈-腹部大動脈バイパスと両側腎動脈再建を行った1治験例
- Author:
Satoshi Kamata
;
Tadanori Kawada
;
Keita Kikuchi
;
Shigeki Miyamoto
;
Koichi Nishimura
;
Shinichi Endo
;
Satoshi Nakamura
;
Hiroshi Takei
;
Shigeki Funaki
;
Noboru Yamate
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1995;24(4):260-263
- CountryJapan
- Language:Japanese
-
Abstract:
A 16-year-old girl with aortitis syndrome under treatment with a low dose of prednisolone was admitted because of severe headache and intermittent claudication. Angiography revealed diffuse stenosis of the thoracoabdominal aorta and the bilateral renal arteries. Extra-anatomical bypass grafting from the ascending to the abdominal aorta was first made with a 14mm woven Dacron graft through a midline sternolaparotomy. Bilateral renal arteries were difficult to dissect due to periarterial adhesion. Bypass grafting for the left renal artery could be performed with a 5mm external velour wrap-knit Dacron graft (Sauvage, Bionit); however, the right renal artery was so thin that bypass was made with a 4mm EPTFE graft which was demonstrated to be occluded by follow-up angiography 3 years after surgery. The postoperative course has been uneventful and she has been free from symptoms up to now. The good long-term function of the bypass graft from the ascending aorta holds promise for diffuse coarctation of the thoracoabdominal aorta due to aortitis syndrome.
