Case report demonstrates nearly four decades of durability after sequential thoracoabdominal and branch artery bypasses in nonspecific aortoarteritis, indicating viable long-term surgical management.
Stenoses of the thoracoabdominal aorta and its branches in nonspecific aortoarteritis are observed with a frequency of 19.4-39.2%. Such changes have previously been often described as 'atypical aortic coarctation', 'middle aortic syndrome'. According to the literature, only a small number of authors have experience with surgical interventions in the progression of the process in the visceral and renal arteries after aortic reconstructions. We herein present a clinical case report regarding sequential surgical treatment for nonspecific aortoarteritis: almost 38-year outcome after thoracoabdominal aortic repair, 14-year outcome after inferior mesenteric-left renal bypass, and 7-year outcome after right common iliac-superior mesenteric bypass.
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Beloyartsev et al. (2023) studied this question.
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