Reconstruction of Bilateral Branch Pulmonary Artery Stenosis Caused by Takayasu's Aortitis

Hiroo Shikata; Shigeru Sakamoto; Yoshimichi Ueda; Shuji Tsuchishima; Toshiaki Matsubara; Hisateru Nishizawa; Shinji Shono; Masahiro Kanno; Takashi Shimizu; Junichi Matsubara

doi:10.1253/circj.68.791

Case Report

Reconstruction of Bilateral Branch Pulmonary Artery Stenosis Caused by Takayasu's Aortitis

Hiroo Shikata, Shigeru Sakamoto, Yoshimichi Ueda, Shuji Tsuchishima, Toshiaki Matsubara, Hisateru Nishizawa, Shinji Shono, Masahiro Kanno, Takashi Shimizu, Junichi Matsubara

Author information

Hiroo Shikata
Department of Thoracic and Cardiovascular Surgery
Shigeru Sakamoto
Department of Thoracic and Cardiovascular Surgery
Yoshimichi Ueda
Second Department of Pathology, Kanazawa Medical University
Shuji Tsuchishima
Department of Thoracic and Cardiovascular Surgery
Toshiaki Matsubara
Departments of Thoracic and Cardiovascular
Hisateru Nishizawa
Department of Thoracic and Cardiovascular Surgery
Shinji Shono
Departments of Thoracic and Cardiovascular
Masahiro Kanno
General Surgery, Keijyu Medical Center
Takashi Shimizu
Department of Thoracic and Cardiovascular Surgery
Junichi Matsubara
Department of Thoracic and Cardiovascular Surgery

Keywords: Pulmonary artery stenosis, Pulmonary hypertension, Pulmonary scintigraphy, Takayasu's aortitis

JOURNAL FREE ACCESS

2004 Volume 68 Issue 8 Pages 791-794

DOI https://doi.org/10.1253/circj.68.791

Details

Abstract

A 63 year-old female presented with dyspnea on exertion. Her chest X-ray showed cardiomegaly, and right ventricular overload and tricuspid regurgitation were detected. Her pulmonary ventilation and blood flow scintigraphy findings were suspicious of pulmonary vascular disease; the diagnosis was pulmonary hypertension and bilateral branch pulmonary artery stenosis. After the inflammation settled, the stenotic bilateral branch pulmonary artery was reconstructed with a prosthetic vessel and the pulmonary pressure normalized immediately. A resected specimen revealed that the stenotic changes were from Takayasu's disease. The patient's postoperative course was uneventful, and pulmonary ventilation and blood scintigraphy returned to an almost normal range. At follow-up 5 years and 6 months after the operation, there was no evidence of pulmonary artery disease (eg, stenosis and/or ischemia) or of any change in the central vessels of the retina, the so-called Takayasu's retinopathy. (Circ J 2004; 68: 791 - 794)

Corresponding author

Register with J-STAGE for free!