Midaortic Syndrome due to Takayasu Arteritis in a Child with Acute Decompensated Cardiac Failure Managed by an Emergency Axillo-External Iliac Artery Bypass: A Follow-Up Case Report of Long-Term Outcomes
| Autor: | Tetsuo Watanabe, Hirokazu Takahashi, Shinichiro Horii, Yoshitaro Yoshida, Daijirou Akamatsu, Hirofumi Sugawara, Hitoshi Goto, Michihisa Umetsu, Norinobu Ogasawara, Takashi Kamei, Ken Tsuchida, Yoh Hamada, Shunya Suzuki |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Abdominal aorta External iliac artery General Medicine 030204 cardiovascular system & hematology medicine.disease Revascularization Asymptomatic 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences Pseudoaneurysm Stenosis 0302 clinical medicine Heart failure medicine.artery Descending aorta medicine medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Vascular Surgery. 64:408.e5-408.e9 |
| ISSN: | 0890-5096 |
| Popis: | Midaortic syndrome (MAS) is characterized by a diffuse narrowing of the distal thoracic or abdominal aorta and is concomitant with various etiologies. The common symptoms of MAS include severe hypertension or arterial insufficiency distal to the stenosis. This includes lower extremity claudication and heart failure due to afterload mismatch. We present the case of an 8-year-old girl who developed acute decompensated cardiac, respiratory, and renal failures because of the occlusion of the descending aorta secondary to Takayasu arteritis (TA). Although thoracoabdominal–aortic bypass is usually performed for patients with MAS, the procedure was considered too invasive, given the patient's condition. Therefore, we performed an emergency axillo-external iliac artery bypass for revascularization. Subsequently, organ failure improved and she was discharged. At postoperative 10 years, an asymptomatic pseudoaneurysm was detected at the distal anastomosis, for which revision surgery was performed. Overall, the long-term prognosis was satisfactory, suggesting that this procedure is less invasive and effective for treatment of MAS due to TA, in emergencies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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