Surgical treatment of multivessel lesions in Takayasu arteritis

作     者：DIAO Yong-peng LIU Chang-wei SONG Xiao-jun CHEN Yue-xin GUO Li-long LIAN Li-shan LI Yong-jun 

作者机构：Department of Vascular Surgery Peking Union Medical CollegeHospital Peking Union Medical College Chinese Academy ofMedical Science Beijing 100730 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2013年第126卷第24期

页      面：4804-4805页

核心收录：

学科分类：090603[农学-临床兽医学] 082304[工学-载运工具运用工程] 08[工学] 09[农学] 0906[农学-兽医学] 0823[工学-交通运输工程] 

主　　题：Takayasu arteritis surgical procedures, vascular grafting 

摘      要：Takayasu arteritis （TA） is a chronic progressive nonspecific vasculitis that involves the aorta and itsmain branches, resulting in luminal stenosis in the large vessels. Steroid therapy is the foundation for TA treatment and the guarantee of surgery. When a patient presents with uncontrolled symptoms, surgical treatment is the only measure that may be adopted to prevent greater risk to life. However, surgical repair for extensive arteriopathy requires an ingenious design to avoid morbidity in response to the complexity of the pathophysiology of TA. A 41-year-old woman presented with pulselessness, recurrent dizziness, and visual disturbance for the past 23 years. The patient had been diagnosed with TA 13 years ago and had received steroid therapy. However, the symptoms of dizziness and visual disturbance had increased in intensity and duration over the last 2 years. Upon admission, physical examination revealed that pulse in both arms were absent. Her blood pressure was 98/63 mmHg （1 mmHg=0.133 kPa） in the left arm,