Aortic Valve Replacement in a Patient with Aortic Arch Syndrome Secondary to Takayasu's Arteritis: One case.
- Author:
Jong Bum CHOI
1
;
Hyun Woong YANG
;
Sam Youn LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, School of Medicine, Wonkwang University, Iksan, Jeonbuk, Korea. jobchol@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Takayasu's arteritis;
Aortic arch syndrome;
Aortic valve insufficiency;
Immunosuppression;
Aorta, arch
- MeSH:
Aorta;
Aorta, Thoracic*;
Aortic Arch Syndromes*;
Aortic Valve Insufficiency;
Aortic Valve*;
Carotid Arteries;
Constriction, Pathologic;
Coronary Vessels;
Dyspnea;
Humans;
Immunosuppression;
Inflammation;
Male;
Stents;
Subclavian Artery;
Syncope;
Takayasu Arteritis*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2004;37(1):88-91
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aortic regurgitation is not a rare complication of Takayasu's disease. Aortic regurgitation may aggravate cerebral ischemic syndrome like syncope in patients with stenotic or occlusive lesions in cerebral branches of aorta secondary to acute or progressive inflammation. In a 34-yrs-old male patient who complained of syncope and exertional dyspnea with occlusion of both carotid arteries and severe stenoses of both subclavian arteries, occlusion of right coronary artery, and aortic regurgitation, his symptom was improved with perioperative aggressive steroid therapy, stent insertion in both subclavian arteries, and aortic valve replacement.