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KMID : 0364019930260060496
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Korean Journal of Thoracic and Cardiovascular Surgery
1993 Volume.26 No. 6 p.496 ~ p.500
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Surgical Treatment of Takayasu's Arteritis -Report of One Case-
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전희재
최필조/함시영/성시찬/우종수
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Abstract
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Takayasu's arteritis is an arteritis of unknown etiology involving larger elastic elastic arteries. The end stage pathologic feature is vascular obstructive change and the resulting clinical manifestations are local ischemic symptoms such as
syncope,
visual disturbance, claudication of extremities, hypertension, and angina. Recently we have experienced one case of Takayasu's arteritis involving aortic arch, left common carotid artery and left subclavian artery. The patient was 27 year-old
female and
she was admitted because of headache and neck pain. Aortogram revealed fusiform dilatation of left common carotid artery with focal narrowing on it's distal portion. The patient underwent surgical resection and replacement of Dacron tube graft
between
distal and proximal left common carotid artery. 3 months after operation, she was readmitted because of shoulder pain and headache. Aortogram revealed focal narrowing of proximal left common carotid artery and total obstruction of left subclavian
artery
which caused subclavian steel syndrome. Aorto-left common carotid and aorto-left subclavian bypass graft replacement were done. (Korean J Thoracic Cardiovas Surg 1994; 27:496-500)
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