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Hosaka A Miyata T Momose T Nakazawa T Shigematsu H Nagawa H 《Annals of vascular surgery》2005,19(6):917-920
In patients with Takayasu’s arteritis presenting with cerebrovascular insufficiency, deciding whether and how to perform surgical
intervention is difficult. We report successful extra-anatomical cerebrovascular reconstruction in a patient with Takayasu’s
arteritis involving the aortic arch. A 27-year-old woman was diagnosed with Takayasu’s arteritis with occlusion of all three
branches of the aortic arch. Single-photon emission computed tomography and positron emission tomography of the brain were
useful in assessing the indication and effect of surgical treatment. Right common ilioaxillary artery bypass grafting was
performed, and at 18-month follow-up the patient remained symptom-free. Extra-anatomical bypass can be a therapeutic option
for surgical management of Takayasu’s arteritis with aortic arch involvement. 相似文献