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Open Access Case report

Re-do aortic operation in a young patient for aggressive Takayasu’s arteritis

Ioannis Bougioukas12*, Dimitrios Mikroulis2, Aron Frederik Popov1 and Georgios Bougioukas2

Author Affiliations

1 Department of Thoracic and Cardiovascular Surgery, University of Göttingen, Robert-Koch-Strasse 40, Göttingen, 37075, Germany

2 Department of Cardio-Thoracic Surgery, University Hospital Alexandroupolis, Alexandroupolis, Greece

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Journal of Cardiothoracic Surgery 2012, 7:91  doi:10.1186/1749-8090-7-91

Published: 26 September 2012

Abstract

Takayasu’s arteritis is an inflammatory arteriopathy which involves the aorta and its major branches, causing mainly stenosis of their lumen, though aneurysmal lesions can also occur. A young female with Takayasu’s disease presented to our hospital with acute lung oedema due to severe aortic insufficiency and ascending aorta dilatation. She had already undergone distal ascending aorta and hemiarch replacement due to Standford type A aortic dissection five years ago. The patient had also undergone reconstruction of abdominal arteries’ stenoses with extraanatomical bypass. We performed a Bentall procedure with a valved conduit and implantation of the coronary ostia as buttons on the conduit. A mechanical valved graft was used instead of a bioprosthesis, due to possible early degradation of a bioprosthesis. The postoperative course was uneventful and the one year follow-up was normal. Valve-sparing aortic root replacement should be avoided in Takayasu’s arteritis due to high rate of recurrent regurgitation.

Keywords:
Arteritis Takayasu; Aortic dissection; Bentall procedure