HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Amano, J. Articles by Suzuki, A. Search for Related Content PubMed PubMed Citation Articles by Amano, J. Articles by Suzuki, A.

The Journal of Thoracic and Cardiovascular Surgery, Vol 102, 554-560, Copyright © 1991 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Coronary artery involvement in Takayasu's arteritis. Collective review and guideline for surgical treatment

J Amano and A Suzuki
Department of Cardiothoracic Surgery, Tokyo Medical and Dental University, Japan.

Coronary artery disease is a rare involvement of Takayasu's arteritis. From 1961 to 1989, 63 patients, including our five, have been reported to undergo operations for coronary artery disease resulting from Takayasu's arteritis. Most of the patients were Japanese (86%) and female (86%). The initial clinical manifestation was angina pectoris in 71%. Among 92 lesions, coronary ostia were most frequently involved (73%) followed by nonostial proximal lesions (18.5%). Forty-two of 62 (67.7%) ostial lesions of the left main coronary artery had more than 90%, or complete, stenosis. Aortic regurgitation was associated in 28 patients (44.4%). Myocardial revascularization was performed in 49, and transaortic endarterectomy in 12. Concomitant aortic valve replacement was done in 16 patients. Operative mortality was five (7.9%), and late deaths were reported in three patients. Postoperative steroid therapy was performed in 22. Operation was repeated in two patients because of graft failure. Thus coronary artery disease resulting from Takayasu's arteritis should be suspected in young Asian women with angina pectoris. The timing preferred for surgical intervention is during an inactive phase. Two procedures are commonly chosen for surgical intervention, either transaortic endarterectomy or coronary revascularization with vein grafts. Postoperative steroid therapy is strongly recommended to those patients who are operated on in the clinically or histologically active stage.

This article has been cited by other articles:

				A. Korach, P. Menon, and O. M. Shapira Patch Aortoplasty for Proximal Anastomosis of Coronary Artery Bypass Grafts in Patients With Complex Aortic Pathology Ann. Thorac. Surg., March 1, 2008; 85(3): 1108 - 1109. [Abstract] [Full Text] [PDF]

				S. Theodore, N. Madhusankar, B. R. Jagannath, and K. M. Cherian IMPORTANCE OF OSTIAL CORONARY STENOSIS IN NON INFECTIOUS AORTITIS Asian Cardiovasc Thorac Ann, February 1, 2007; 15(1): 82 - 82. [Full Text] [PDF]

				M Nakajima, K Tsuchiya, and J Obata Atypical cause of hibernating myocardium due to complex cardiovascular lesions associated with Takayasu's arteritis Heart, July 1, 2004; 90(7): e43 - e43. [Abstract] [Full Text] [PDF]

				T. Miyata, O. Sato, H. Koyama, H. Shigematsu, and Y. Tada Long-Term Survival After Surgical Treatment of Patients With Takayasu's Arteritis Circulation, September 23, 2003; 108(12): 1474 - 1480. [Abstract] [Full Text] [PDF]

				M. Endo, Y. Tomizawa, H. Nishida, S. Aomi, M. Nakazawa, Y. Tsurumi, M. Kawana, and H. Kasanuki Angiographic findings and surgical treatments of coronary artery involvement in Takayasu arteritis J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 570 - 577. [Abstract] [Full Text] [PDF]

				I S Malik, O Harare, A AL-Nahhas, K Beatt, and J Mason Takayasu's arteritis: management of left main stem stenosis Heart, March 1, 2003; 89(3): e9 - 9. [Abstract] [Full Text] [PDF]

				H. Arai, T. Yoshida, S. Hasegawa, and M. Sunamori Bilateral surgical coronary ostial angioplasty with a superficial femoral artery patch in Takayasu aortitis J. Thorac. Cardiovasc. Surg., October 1, 2002; 124(4): 845 - 847. [Full Text] [PDF]

				K.-H. Kim, C. Lee, and H. Ahn Successful treatment in a patient with Takayasu's arteritis and Marfan syndrome Ann. Thorac. Surg., September 1, 2002; 74(3): 908 - 910. [Abstract] [Full Text] [PDF]

				S. K Singh, D. Kumar, R. D Yadave, A. R Khanna, and S. K Sinha Y Graft Bypass for Bilateral Coronary Ostial Aortoarteritis Asian Cardiovasc Thorac Ann, June 1, 2002; 10(2): 162 - 164. [Abstract] [Full Text] [PDF]

				F. Donatelli, M. Triggiani, S. Nascimbene, C. Basso, S. Benussi, S. L. Chierchia, G. Thiene, and A. Grossi THROMBOANGIITIS OBLITERANS OF CORONARY AND INTERNAL THORACIC ARTERIES IN A YOUNG WOMAN J. Thorac. Cardiovasc. Surg., April 1, 1997; 113(4): 800 - 802. [Full Text]

				M. Noma, M. Sugihara, and Y. Kikuchi Isolated Coronary Ostial Stenosis in Takayasu's Arteritis: Case Report and Review of the Literature Angiology, October 1, 1993; 44(10): 839 - 844. [Abstract] [PDF]