We experienced 20 patients with Takayasu's disease who required 22 surgical procedures for critical arterial stenoses, aneurym of descending thoracic aorta, and aortic regurgitation from 1986 to 1993.
Five patients had type I arteritis, seven patients had type II, seven patients had type III, and one patients had type IV. 15 patients were female and 5 patients were male. Patients' ages ranged from 17 to 47 years and mean age was 29.1 years.
The surgical procedures were as follows; autotransplantations of kidney(3), aortic valve replacements(2), ascending aorta-bilateral internal carotid artery bypasses(2), unilateral renal artery bypasses(2), bilateral renal artery bypasses(3),
replacement
of descending thoracic aorta(1), ascending aortaabdominal aorta bypass(1), ascending aorta-right internal carotid artery bypass91), ascending aortaright internal carotid artery and left subclavian artery bypass(1), left common carotid
artery-left-subclavian artery bypass91), pulmonary artery angioplasty(1), left femoro-bilateral axillary bypass(1) and others(2).
There was no hospital death.
Mean duration of follow-up was 42.7 months(ranged from 3 to 96 months). There was one late death and late mortality rte is 5.9%. Two patients was underwent second vascular procedures, one after 5 years and the other after 5 months. The other
patients
have done well after surgery. (Korean J Thoracic Cardiovas Surg 1993;26:926-33)
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