scholarly journals Giant pseudoaneurysm at the proximal vein graft anastomosis after Bentall procedure for Takayasu arteritis

2011 ◽  
Vol 142 (5) ◽  
pp. 1272-1273
Author(s):  
Kenichi Hashizume ◽  
Ryuichi Takahashi ◽  
Kouji Tsutsumi
Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 216
Author(s):  
Maja Stojanovic ◽  
Sanvila Raskovic ◽  
Marija Boricic-Kostic ◽  
Vesna Bozic ◽  
Maja Vuckovic ◽  
...  

Takayasu arteritis (TA) is a rare, large vessel vasculitis that affects aorta, its major branches, and occasionally pulmonary arteries. Patients with TA can present with constitutional features and/or various symptoms and signs caused by morphological changes in the blood vessels affected by the inflammatory process. Corticosteroids (CS) and immunosuppressives (IS) are the first line treatment for active TA. Open surgery remains a treatment of choice for TA patients with moderate-to-severe aortic regurgitation (AR) and ascending aortic aneurysm (AAA). We present a 26-year-old female diagnosed with an advanced stage of TA, initially presented as congestive heart failure. Due to a progressive course of the disease (AR 3+, AAA 5.5 cm), surgery of the Aortic valve and root (Bentall procedure), with total arch reconstruction and replacement of supra-aortic branches was performed. The patient has had an uneventful recovery during the postoperative course with no complications at one year follow-up. Normal left ventricle (LV) diameter, LV ejection fraction 67%, and a trace of AR were seen on the last echocardiography.


2017 ◽  
Vol 100 (2) ◽  
pp. 181-184 ◽  
Author(s):  
Hakan Bahadir Haberal ◽  
Senol Tonyali ◽  
Bora Peynircioğlu ◽  
Mustafa Arici ◽  
Metin Demircin ◽  
...  

2019 ◽  
Vol 46 (3) ◽  
pp. 207-210
Author(s):  
Hiroki Ikenaga ◽  
Satoshi Kurisu ◽  
Yasuki Kihara

Anastomotic occlusion of an interposed coronary artery graft after a Bentall procedure is rare and catastrophic. It can lead to myocardial infarction or sudden cardiac death. We found several reports of occlusion and stenosis of a coronary-graft anastomosis, but few describe occlusion of the interposed coronary graft itself, as evaluated with use of intracoronary ultrasonography and computed tomography. We report the case of a 17-year-old boy with Takayasu arteritis who had a myocardial infarction caused by severe ostial stenosis in an interposed left coronary graft. The graft occlusion was confirmed by results of electrocardiography, aortography, and intracoronary ultrasonography. The patient was treated with percutaneous coronary intervention, stenting of the interposed graft, and thrombectomy, but he died of left ventricular dysfunction caused by extensive myocardial infarction. Extrinsic compression may have caused the graft occlusion. When considering emergency percutaneous coronary intervention to interposed coronary artery grafts, operators need to identify the cause of occlusion and decide on the best approach for each patient. Stenting the graft may provide temporary relief. During a hemodynamic crisis, immediately reperfusing the graft is crucial.


2012 ◽  
Vol 13 (12) ◽  
pp. 1053-1053
Author(s):  
Hugo del Castillo Carnevali ◽  
Mónica Recio Vázquez ◽  
José Luis Moya Mur ◽  
Vivencio Barrios Alonso ◽  
José L. Zamorano

Sign in / Sign up

Export Citation Format

Share Document