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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Takayasu's Arteriitis | Case report

Surgical treatment for brachiocephalic artery aneurysm with Takayasu arteritis using isolated cerebral perfusion: a case study

Authors: Kayo Sugiyama, Hirotaka Watanuki, Yasuhiro Futamura, Masaho Okada, Satoshi Makino, Katsuhiko Matsuyama

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

Takayasu arteritis (TA) is a chronic inflammatory disease that induces stenosis, occlusion, or aneurysmal degeneration of the aorta and its major branches. Though rarely reported, proximal aneurysmal lesions from the aortic root to the arch are more common in Asian populations than in Western populations. In the surgical treatment of TA, anastomotic aneurysm can be problematic. Furthermore, atherosclerotic complications should be considered in surgical treatment for elderly TA patients.

Case presentation

Here, we report a case of brachiocephalic artery (BCA) aneurysm with TA for which surgical treatment was successful. Though it was solely a lesion of the brachiocephalic artery, after considering the patient’s clinical background and the features of TA, we chose a partial arch replacement. Further, for avoidance of anastomotic aneurysm, both distal and proximal anastomosis were reinforced with Teflon felt strips. Preoperative computed tomography detected severe atherosclerotic changes in the arch vessels. The patient underwent partial arch replacement using isolated cerebral perfusion (ICP) for brain protection and recovered without any neurological deficits.

Conclusions

In avoidance with anastomotic aneurysm, reinforcement of the anastomosis was introduced. ICP was effective for brain protection in case with severe atherosclerotic changes.

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Title: Surgical treatment for brachiocephalic artery aneurysm with Takayasu arteritis using isolated cerebral perfusion: a case study
Authors: Kayo Sugiyama
Hirotaka Watanuki
Yasuhiro Futamura
Masaho Okada
Satoshi Makino
Katsuhiko Matsuyama
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Takayasu's Arteriitis
Takayasu's Arteriitis
Aneurysm
Aneurysm
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01413-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Surgical treatment for brachiocephalic artery aneurysm with Takayasu arteritis using isolated cerebral perfusion: a case study

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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