A Case of Thoracoabdominal Aortic Aneurysm, Renovascular Hypertension with Ipsilateral Kidney Associated with Takayasu's Disease.
10.4326/jjcvs.30.157
- VernacularTitle:高安動脈炎，片腎患者に合併した胸腹部大動脈りゅう，左腎動脈閉塞に対する１治験例
- Author:
Yuji Hanafusa
;
Yutaka Okita
;
Motomi Ando
;
Osamu Tagusari
;
Kenji Minatoya
;
Ritsu Matsukawa
;
Soichiro Kitamura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2001;30(3):157-160
- CountryJapan
- Language:Japanese
-
Abstract:
A 71-year-old woman who had Takayasu's disease underwent Y-grafting, bypass grafting between the abdominal aorta and left renal artery with 8mm ePTFE graft and right nephrectomy for infrarenal abdominal aortic aneurysm and renovascular hypertension (RVH). Four years after the first operation, the bypass graft became occluded and hypertension was exacerbated. Magnetic resonance angiography revealed that the left renal artery was supplied by the collateral arteries. We performed replacement of the thoracoabdominal aorta and reconstruction of the left renal artery using the saphenous vein. Postoperatively serum creatinine level decreased and hypertension was controllable. She was discharged from the hospital and has been well for three years.
