J Korean Surg Soc.
1998 Feb;54(2):299-304.
An Experience of Takayasu's Arteritis Involving Vertebral Arteries: A case report
- Affiliations
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- 1Department of Vascular Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea.
- 2Department of Radiology, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea.
Abstract
- Takayasu's arteritis(arteritis syndrome) is an inflammatory disease process affecting primarily the aorta and its main branches. It's etiology and pathogenesis are unknown. Controversy exists in treatment. Segmental stenoses, occlusions, and aneurysmal degeneration of the aorta and the proximal arterial tree are frequent findings. Clinical presentations may include cerebrovascular ischemia, limb ischemia, aortic valvular insufficiency, heart failure, renovascular hypertension, or renal failure. Recently, we experienced a case of Takayasu's arteritis in a 24 years old female with severe dizziness, claudication in right upper extremity. Patient was treated by angioplasty of left vertebral artery and concomitant left subclavian-to-right axillary artery bypass surgery followed by percutaneous transluminal angioplasty with stent therapy of right vertebral artery to prevent cerebrovascular ischemia during the operation. Postoperative result was excellent and dizziness and claudication of right arm were completely relieved.
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