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Emergent thoracic aortic angioplasty and stenting for middle aortic syndrome in non-specific aortitis

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Abstract

A 61-year-old Japanese male was admitted to hospital due to severe congestive heart failure and pre-renal failure with middle aortic syndrome. The patient was successfully treated with emergent aortic angioplasty and kissing stents implantation whilst in a hemodynamically unstable state. Our experience confirms that stenosis of the descending aorta when treated with catheter intervention may be palliative, however, it was a very effective method for life threatening clinical conditions in the short and mid-term and may be an alternative to surgery.

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References

  1. Connolly JE, Wilson SE, Lawrence PL, Fujitani RM. Middle aortic syndrome: distal thoracic and abdominal coarctation, a disorder with multiple etiologies. J Am Coll Surg. 2002;194:774–81.

    Article  PubMed  Google Scholar 

  2. Dong RP, Kimura A, Numano F, Nishimura Y, Sasazuki T. HLA-linked susceptibility and resistance to Takayasu arteritis. Heart Vessels Suppl. 1992;7:73–80.

    Article  CAS  PubMed  Google Scholar 

  3. Yoshida M, Kimura A, Katsuragi K, Numano F, Sasazuki T. DNA typing of HLA-B gene in Takayasu’s arteritis. Tissue Antigens. 1993;42:87–90.

    Article  CAS  PubMed  Google Scholar 

  4. Sharma S, Gupta AK, Dev V. Aortic dissection following transluminal angioplasty of the thoracic aorta in nonspecific aortoarteritis. Int J Cardiol. 1992;35:264–7.

    Article  CAS  PubMed  Google Scholar 

  5. Segers B, Derluyn M, Barroy JP, Brunet AP. Isolated supradiaphragmatic descending thoracic aorta stenosis in a Takayasu’s disease: surgical cure. Eur J Cardiothorac Surg. 2001;20:1243–5.

    Article  CAS  PubMed  Google Scholar 

  6. Schedel H, Wissgott C, Rademaker J, Steinkamp HJ. Primary stent placement for infrarenal aortic stenosis: immediate and midterm results. J Vasc Interv Radiol. 2004;15:353–9.

    PubMed  Google Scholar 

  7. Paraskevas KI, Koutsias S, Mikhailidis DP, Giannoukas AD. Cholesterol crystal embolization: a possible complication of peripheral endovascular interventions. J Endovasc Ther. 2008;15:614–25.

    Article  PubMed  Google Scholar 

  8. Miyata T, Sato O, Koyama H, Shigematsu H, Tada Y. Long-term survival after surgical treatment of patients with Takayasu’s arteritis. Circulation. 2003;108:1474–80.

    Article  PubMed  Google Scholar 

  9. Ogino H, Matsuda H, Minatoya K, Sasaki H, Tanaka H, Matsumura Y, et al. Overview of late outcome of medical and surgical treatment for Takayasu arteritis. Circulation. 2008;118:2738–47.

    Article  PubMed  Google Scholar 

  10. Liang P, Hoffman GS. Advances in the medical and surgical treatment of Takayasu arteritis. Curr Opin Rheumatol. 2005;17:16–24.

    Article  CAS  PubMed  Google Scholar 

  11. Bali HK, Bhargava M, Jain AK, Sharma BK. De novo stenting of descending thoracic aorta in Takayasu arteritis: intermediate-term follow-up results. J Invasive Cardiol. 2000;12:612–7.

    CAS  PubMed  Google Scholar 

  12. McGoldrick RB, Munneke GJ, Thompson MM. Endovascular treatment of Takayasu’s arteritis of the thoracic descending aorta. Eur J Vasc Endovasc Surg. 2007;33:81–3.

    Article  CAS  PubMed  Google Scholar 

  13. Shim BJ, Youn HJ, Kim YC, Kim WT, Choi YS, Lee DH, et al. Takayasu’s arteritis treated by percutaneous transluminal angioplasty with stenting in the descending aorta. J Korean Med Sci. 2008;23:551–5.

    Article  PubMed  Google Scholar 

  14. Moriwaki R, Noda M, Yajima M, Sharma BK, Numano F. Clinical manifestations of Takayasu arteritis in India and Japan––new classification of angiographic findings. Angiology. 1997;48:369–79.

    CAS  PubMed  Google Scholar 

  15. 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.

    Article  CAS  PubMed  Google Scholar 

  16. Research Committee of Intractable Vasculitis Syndrome. In: Diagnosis and clinical practice guideline. Japan Intractable Disease Information Center 2009. http://www.nanbyou.or.jp/pdf/065_s.pdf. Accessed 15 Dec 2009.

  17. Yajima M, Numano F, Park YB, Sagar S. Comparative studies of patients with Takayasu arteritis in Japan, Korea and India––comparison of clinical manifestations, angiography and HLA-B antigen. Jpn Circ J. 1994;58:9–14.

    CAS  PubMed  Google Scholar 

  18. Takeda A, Murakami T. Morphometric analysis of aortic coarctation: determination of the target vessel diameter required to relieve the pressure gradient. Circ J. 2008;72:1993–7.

    Article  PubMed  Google Scholar 

  19. Sharma BK, Jain S, Bali HK, Jain A, Kumari S. A follow-up study of balloon angioplasty and de-novo stenting in Takayasu arteritis. Int J Cardiol. 2000;75(Suppl 1):S147–52.

    Article  PubMed  Google Scholar 

  20. Fawzy ME, Fathala A, Osman A, Badr A, Mostafa MA, Mohamed G, et al. Twenty-two years of follow-up results of balloon angioplasty for discreet native coarctation of the aorta in adolescents and adults. Am Heart J. 2008;156:910–7.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiology, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, Fukui, 910-0846, Japan

    Susumu Fujino, Tomohito Mabuchi, Shohei Yoshida, Masatomo Suzuki, Yoshihiro Noji, Masato Yamaguchi & Takahiko Aoyama

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  1. Susumu Fujino
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  2. Tomohito Mabuchi
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  3. Shohei Yoshida
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  4. Masatomo Suzuki
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  5. Yoshihiro Noji
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  6. Masato Yamaguchi
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  7. Takahiko Aoyama
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Correspondence to Susumu Fujino.

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Fujino, S., Mabuchi, T., Yoshida, S. et al. Emergent thoracic aortic angioplasty and stenting for middle aortic syndrome in non-specific aortitis. Cardiovasc Interv and Ther 25, 117–121 (2010). https://doi.org/10.1007/s12928-010-0012-5

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  • DOI: https://doi.org/10.1007/s12928-010-0012-5

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