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Complex Aortic, Visceral and Renal Arteries Reconstruction with a Four-Branch Dacron Graft for Middle Aortic Syndrome Secondary to Takayasu's Arteritis.

Abstract：

:The middle aortic syndrome (MAS) is an uncommon clinical expression as a result of isolated stenosis or complete occlusion of the descending thoracic and/or abdominal aorta; Takayasu's arteritis (TA) is a rare vasculitis and a recognized etiology of MAS. We herein present the case of a 52-year-old woman with refractory renovascular hypertension and progressive bilateral lower extremity claudication; she had known history of TA. A computed tomography angiography demonstrated an aortic occlusive lesion compromising the origin of the celiac trunk, superior mesenteric, and bilateral renal arteries. The patient underwent a complex aortic reconstruction with visceral and renal vessels revascularization utilizing a back-table hand-crafted 4-branch Dacron graft through a left thoracoabdominal approach. The patient recovered uneventfully and was discharged on postoperative day 5, and at 36 months from her surgery, she remains symptoms-free and without antihypertensive agents.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Lopez-Pena G,Anaya-Ayala JE,Garcia-Alva R,Arzola LH,Luna L,Hinojosa CA

doi

10.1016/j.avsg.2020.05.064

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

450.e1-450.e5

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(20)30479-9

journal_volume

69

pub_type

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