A Case Report of Juxtarenal Aortic Occlusion due to Takayasu's Arteritis.
10.4326/jjcvs.28.385
- VernacularTitle:炎症性高位腹部大動脈閉塞症の１治験例
- Author:
Ichiro Morita
;
Hisao Masaki
;
Hiroshi Inada
;
Daiki Kikugawa
;
Atsushi Nogami
;
Takashi Fujiwara
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(6):385-388
- CountryJapan
- Language:Japanese
-
Abstract:
A rare case of juxtarenal aortic occlusion due to Takayasu's arteritis is reported. A 46-year-old man who had been suffering from intermittent claudication from the age of 44 when Buerger's disease was suspected at another hospital because of exacerbation of the symptom. Occlusion of the abdominal aorta and severe aortic wall thickness were identified by the abdominal CT scan. After the improvement of inflammation, under the diagnosis of juxtarenal aortic occlusion due to inflammatory disease, we performed an aortobifemoral bypass grafting using a Y-shaped prosthesis (proximal anastomosis was end-to-end) found a tight inflammatory adhesion around the abdominal aorta. Histopathological examination of the resected specimen revealed an infiltration of lymphocytes, plasma cells in aortic media and adventitia, severe fibrosis in the aortic adventitia, and a diagnosis of Takayasu's arteritis was made. The postoperative course was uneventful but we should periodically check for inflammatory signs, and anastomotic aneurysms.
