Surgery Today

, Volume 44, Issue 5, pp 944–947 | Cite as

Aortic stent and renal autotransplantation for the management of renovascular hypertension with Takayasu’s arteritis: report of a case

  • Hyung-Kee Kim
  • Jong-Min Lee
  • Min Hyun Cho
  • Seung Huh
Case Report

Abstract

Takayasu’s arteritis (TA) is a rare inflammatory disease affecting the aorta and its major branches. In patients with TA, middle aortic syndrome with aortic and renal artery involvement causes severe hypertension that does not respond well to medical therapy. Currently, the optimal therapeutic options have not been established, and the reported results of different treatments vary widely. We herein present a case of middle aortic syndrome with renovascular hypertension caused by TA in a 12-year-old male treated by an aortic stent and renal autotransplantation as a two-staged procedure.

Keywords

Takayasu’s arteritis Renovascular hypertension Stent Autotransplantation Kidney 

References

  1. 1.
    Kerr GS. Takayasu’s arteritis. Rheum Dis Clin North Am. 1995;21:1041–58.PubMedGoogle Scholar
  2. 2.
    Bicakcigil M, Aksu K, Kamali S, Ozbalkan Z, Ates A, Karadag O, et al. Takayasu’s arteritis in Turkey—clinical and angiographic features of 248 patients. Clin Exp Rheumatol. 2009;27:S59–64.PubMedGoogle Scholar
  3. 3.
    Jain S, Kumari S, Ganguly NK, Sharma BK. Current status of Takayasu arteritis in India. Int J Cardiol. 1996;54:S111–6.PubMedCrossRefGoogle Scholar
  4. 4.
    Wu X, Duan HY, Gu YQ, Chen B, Wang ZG, Zhang J. Surgical treatment of multivessel lesions in Takayasu’s arteritis: report of a case. Surg Today. 2011;41:552–5.PubMedCrossRefGoogle Scholar
  5. 5.
    Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, et al. Takayasu arteritis. Ann Intern Med. 1994;120:919–29.PubMedCrossRefGoogle Scholar
  6. 6.
    Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH, Edworthy SM, et al. The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis Rheum. 1990;33:1129–34.PubMedCrossRefGoogle Scholar
  7. 7.
    Delis KT, Gloviczki P. Middle aortic syndrome: from presentation to contemporary open surgical and endovascular treatment. Perspect Vasc Surg Endovasc Ther. 2005;17:187–203.PubMedCrossRefGoogle Scholar
  8. 8.
    Taketani T, Miyata T, Morota T, Takamoto S. Surgical treatment of atypical aortic coarctation complicating Takayasu’s arteritis—experience with 33 cases over 44 years. J Vasc Surg. 2005;41:597–601.PubMedCrossRefGoogle Scholar
  9. 9.
    Kalangos A, Christenson JT, Cikirikcioglu M, Vala D, Buerge A, Simonet F, et al. Long-term outcome after surgical intervention and interventional procedures for the management of Takayasu’s arteritis in children. Thorac Cardiovasc Surg. 2006;132:656–64.CrossRefGoogle Scholar
  10. 10.
    Ghazi P, Haji-Zeinali AM, Ghasemi M, Pour MZ. Transcatheter stent implantation for the treatment of abdominal aortic coarctation and right renal artery stenosis in Takayasu’s arteritis: a case with a 4-year follow-up. Hell J Cardiol. 2011;52:182–5.Google Scholar
  11. 11.
    Bialkowski J, Szkutnik M, Bermúdez-Cañete R, Kusa J, Regiec S, Mullins CE. Middle aortic syndrome caused by Takayasu’s disease and treated by stent implantation: a report of medium-term follow-up. Rev Esp Cardiol. 2002;55:682–5.PubMedCrossRefGoogle Scholar
  12. 12.
    Lee BB, Laredo J, Neville R, Villavicencio JL. Endovascular management of Takayasu arteritis: is it a durable option? Vascular. 2009;17:138–46.PubMedCrossRefGoogle Scholar
  13. 13.
    D’Souza SJ, Tsai WS, Silver MM, Chait P, Benson LN, Silverman E, Hebért D, et al. Diagnosis and management of stenotic aorto-arteriopathy in childhood. J Pediatr. 1998;132:1016–22.PubMedCrossRefGoogle Scholar
  14. 14.
    Trimarchi S, Tolva VS, Grassi V, Frigiola A, Carminati M, Rampoldi V. Descending thoracic and abdominal aortic coarctation in the young: surgical treatment after percutaneous approaches failure. J Vasc Surg. 2008;47:865–7.PubMedCrossRefGoogle Scholar
  15. 15.
    Qureshi MA, Martin Z, Greenberg RK. Endovascular management of patients with Takayasu arteritis: stents versus stent grafts. Semin Vasc Surg. 2011;24:44–52.PubMedCrossRefGoogle Scholar
  16. 16.
    Sharma S, Rajani M, Kaul U, Talwar KK, Dev V, Shrivastava S. Initial experience with percutaneous transluminal angioplasty in the management of Takayasu’s arteritis. Br J Radiol. 1990;63:517–22.PubMedCrossRefGoogle Scholar
  17. 17.
    Tyagi S, Singh B, Kaul UA, Sethi KK, Arora R, Khalilullah M. Balloon angioplasty for renovascular hypertension in Takayasu’s arteritis. Am Heart J. 1993;125:1386–93.PubMedCrossRefGoogle Scholar
  18. 18.
    Ham SW, Kumar SR, Wang BR, Rowe VL, Weaver FA. Late outcomes of endovascular and open revascularization for nonatherosclerotic renal artery disease. Arch Surg. 2010;145:832–9.PubMedCrossRefGoogle Scholar
  19. 19.
    Weaver FA, Kumar SR, Yellin AE, Anderson S, Hood DB, Rowe VL, et al. Renal revascularization in Takayasu arteritis-induced renal artery stenosis. J Vasc Surg. 2004;39:749–57.PubMedCrossRefGoogle Scholar
  20. 20.
    Chiche L, Kieffer E, Sabatier J, Colau A, Koskas F, Bahnini A. Renal autotransplantation for vascular disease: late outcome according to etiology. J Vasc Surg. 2003;37:353–61.PubMedCrossRefGoogle Scholar
  21. 21.
    Corbetta JP, Durán V, Burek C, Weller S, Sager C, Dingevan R, et al. Renal autotransplantation for the treatment of renovascular hypertension in the pediatric population. J Pediatr Urol. 2011;7:378–82.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Hyung-Kee Kim
    • 1
  • Jong-Min Lee
    • 2
  • Min Hyun Cho
    • 3
  • Seung Huh
    • 1
  1. 1.Division of Transplantation and Vascular Surgery, Department of SurgeryKyungpook National University School of MedicineDaeguSouth Korea
  2. 2.Department of RadiologyKyungpook National University School of MedicineDaeguSouth Korea
  3. 3.Department of PediatricsKyungpook National University School of MedicineDaeguSouth Korea

Personalised recommendations