Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Long-term result of hybrid procedure for an extensive thoracic aortic aneurysm in Takayasu arteritis: a case report. | Obitsu et al. Journal of Cardiothoracic Surgery 2010 5 28 http content 5 1 28 JOTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Long-term result of hybrid procedure for an extensive thoracic aortic aneurysm in Takayasu arteritis a case report Yukio Obitsu Nobusato Koizumi Naozumi Saiki Satoshi Kawaguchi Hiroshi Shigematsu Abstract We herein present a 60 years old woman with Takayasu arteritis and an extensive thoracic aortic aneurysm who initially underwent a total aortic arch replacement. Then in the second stage thoracic endovascular aortic repair was performed using the elephant trunk graft as the proximal landing zone at four weeks after aortic arch repair. The postoperative course was relatively uncomplicated but a type II endoleak was noted. Currently about 5 years postoperatively the slight type II endoleak from intercostal artery persists but aneurism dilatation has not been noted so the patient is being followed up. Background Single-stage surgery is preferable for extensive thoracic aortic aneurysms but because of the excessive invasiveness of this approach staged surgery must sometimes be performed. When staged surgery is selected rupture of the residual lesion during the interval period is always a concern so the second stage of surgery must be scheduled as soon as possible after the first. We herein present a patient with Takayasu arteritis and an extensive thoracic aortic aneurysm who initially underwent a total aortic arch replacement. Then in the second stage thoracic endovascular aortic repair TEVAR was performed using the elephant trunk graft as the proximal landing zone. Long-term results have been satisfactory. Case presentation A 60-year-old woman who had been given a diagnosis of Takayasu arteritis about 20 years previously was being treated with steroids but because of progressive dilatation of the ascending to mid-descending aorta she was hospitalized for treatment Figure 1 . Further evaluation on .
