Key result
Multiple visceral bypasses maintain 2-year graft patency and control blood pressure in Takayasu arteritis.
Case Report (n=1)
Surgical revascularization with multiple simultaneous visceral bypasses can successfully treat renovascular hypertension in patients with midaortic syndrome due to chronic Takayasu arteritis.
May support surgical bypass in rare midaortic syndrome cases; leaves open need for prospective data before practice change.
A 52-year-old female was transferred with a 2-year history of intermittent claudication and high blood pressure (BP).She was treated for rheumatoid endocarditis in childhood.The BPs of the left arm and right arm were 187/99 and 169/90 mmHg, respectively.Carotid bruit was absent and the pulses of all four extremities were palpable.Blood tests including inflammatory markers were unremarkable.Computed tomography showed tight segmental narrowing of the abdominal aorta, severe stenosis of the bilateral renal
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Kim et al. (2021) conducted a case report in Renovascular hypertension due to midaortic syndrome associated with chronic Takayasu arteritis (n=1). Supraceliac aortic-infrarenal aortic bypass, left inferior renal artery reimplantation, and hepato-right renal bypass was evaluated on Blood pressure control and graft patency. Surgical revascularization using multiple simultaneous visceral bypasses successfully controlled blood pressure and maintained graft patency at 2 years in a patient with midaortic syndrome and chronic Takayasu arteritis.
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