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

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted 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 Google Scholar Google Scholar Articles by Segers, B. Articles by Brunet, A. P. Search for Related Content PubMed PubMed Citation Articles by Segers, B. Articles by Brunet, A. P. Related Collections Great vessels

Eur J Cardiothorac Surg 2001;20:1243-1245
© 2001 Elsevier Science NL

Case report

Isolated supradiaphragmatic descending thoracic aorta stenosis in a Takayasu's disease: surgical cure

^a Department of Cardiac Surgery, CHU St. Pierre, rue Haute 322, 1000 Brussels, Belgium
^b Department of Vascular Surgery, CHU St. Pierre, rue Haute 322, 1000 Brussels, Belgium

Received 26 July 2001; accepted 24 September 2001.

Corresponding author. Tel.: +32-2-535-3724; fax: +32-2-535-4070
e-mail: ap.brunet{at}swing.be

A 21-year-old male patient presented with a typical middle aortic syndrome. Echography disclosed a severe narrowing of the lower thoracic aorta with parietal thickening. The isolated character of the lesion was confirmed by magnetic resonance imaging and aortography. The surgical cure was realized by a Dacron bypass between the upper thoracic descending aorta and the juxta-diaphragmatic thoracic aorta. Aortic biopsy confirmed Takayasu's disease. Postoperative course was uneventful with normalized blood pressure. The therapeutic options, surgery versus percutaneous dilatation and stent, are discussed.

Key Words: Takayasu arteritis • Middle aortic syndrome • Arterial reconstruction