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Bilateral coronary ostial patch angioplasty with autologous pericardium in Takayasu arteritis: a case requiring replacement of the aortic valve and ascending aorta

European journal of cardio-thoracic surgery, 2004-10, Vol.26 (4), p.866-868 [Peer Reviewed Journal]

Elsevier B.V. © 2004 Elsevier B.V. 2004 ;2004 INIST-CNRS ;ISSN: 1010-7940 ;EISSN: 1873-734X ;DOI: 10.1016/j.ejcts.2004.07.022 ;PMID: 15450598 ;CODEN: EJCSE7

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Title:
Bilateral coronary ostial patch angioplasty with autologous pericardium in Takayasu arteritis: a case requiring replacement of the aortic valve and ascending aorta
Author: Murashita, Toshifumi ; Yoshimoto, Kimihiro ; Sugiki, Hiroshi ; Yasuda, Keishu
Subjects: Angioplasty - methods ; Aortic Valve - surgery ; Aortic Valve Insufficiency - surgery ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary heart disease ; Coronary Stenosis - surgery ; Endocardial and cardiac valvular diseases ; Female ; Heart ; Heart Valve Prosthesis Implantation - methods ; Humans ; Medical sciences ; Middle Aged ; Pericardium - transplantation ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Takayasu Arteritis - surgery
Is Part Of: European journal of cardio-thoracic surgery, 2004-10, Vol.26 (4), p.866-868
Description: Since the lesions and stages of Takayasu arteritis vary with each patient, surgical treatment of this disease requires meticulous planning for the timing of operation, technique, material used, and postoperative medication. We report a rare complex lesion of Takayasu arteritis, which required simultaneous repairs for aortic regurgitation, a dilated ascending aorta and bilateral coronary ostial stenosis. Such multiple lesions have not been reported previously. A 47-year-old woman was referred to us because of heart failure and chest pain. The coronary ostial stenosis were enlarged with generously sized autologous pericardial patches, and separate aortic valve and ascending aortic replacements were performed since the diameter of the Valsalva sinus was 37mm. The postoperative course was uneventful, but steroid therapy was commenced postoperatively because inflammatory reaction remained high.
Publisher: Amsterdam: Elsevier Science B.V
Language: English
Identifier: ISSN: 1010-7940
EISSN: 1873-734X
DOI: 10.1016/j.ejcts.2004.07.022
PMID: 15450598
CODEN: EJCSE7
Source: MEDLINE
Alma/SFX Local Collection

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Bilateral coronary ostial patch angioplasty with autologous pericardium in Takayasu arteritis: a case requiring replacement of the aortic valve and ascending aorta

Elsevier B.V. © 2004 Elsevier B.V. 2004 ;2004 INIST-CNRS ;ISSN: 1010-7940 ;EISSN: 1873-734X ;DOI: 10.1016/j.ejcts.2004.07.022 ;PMID: 15450598 ;CODEN: EJCSE7

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