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Min-Ho Song
Yoshiyuki Tokuda
Yuichi Ueda
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J Thorac Cardiovasc Surg 2008;136:1084-1085
© 2008 The American Association for Thoracic Surgery

Brief Communication

Aortic root aneurysm in Takayasu arteritis syndrome: Exploration in active phase and repair in inactive phase

Min-Ho Song, MD, PhDa,*, Tomohiro Nakayama, MDa, Keisuke Hattori, MDa, Yoshiyuki Tokuda, MDb, Yukio Mabuchi, MDc, Yuichi Ueda, MD, PhDb

a Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan
b Department of Cardiothoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan
c Department of Cardiology, Nakatsugawa City Hospital, Nakatsugawa, Gifu, Japan

Received for publication October 19, 2007; revisions received November 4, 2007; accepted for publication November 12, 2007.

* Address for reprints: Min-Ho Song, MD, PhD, Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, 5-161 Maehata-cho, Tajimi, Gifu 507-8522 Japan. (Email: son-minho@pref.gifu.lg.jp).

The first 20% of the full text of this article appears below.

It is a matter of difficult decision when to operate on aortic root aneurysm due to Takayasu arteritis because Takayasu arteritis bears in itself an inflammatory character which makes a cardiac surgeon to be careful to circumvent lethal complications such as hemorrhage, pseudoaneurysm formation, valve and suture line detachment, and paravalvular leakage. We recently cased for a case of fragile and inflamed aorta of aortic root aneurysm in Takayasu arteritis in inflammatory active phase which ended in exploration, and it was radically repaired in inflammatory inactive phase six months after steroid administration. This experience prompted us to report.

Clinical Summary

A 39-year-old Japanese woman was admitted with suspected impending rupture of an aortic root aneurysm. She had had rheumatoid arthritis for 8 years and was taking 5 mg of steroids. She experienced sudden dyspnea and chest and back . . . [Full Text of this Article]






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