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Pulmonary artery replacement for pulmonary Takayasu’s arteritis

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Abstract

Takayasu’s arteritis is a chronic inflammatory disease that affects the pulmonary artery, as well as the aorta and its major branches. A 59-year-old man presented with a 2-month history of progressive exertional dyspnea. Further examination revealed marked wall thickening of the pulmonary trunk and bilateral proximal pulmonary artery, resulting in severe stenoses with high pressure gradient of 60 mmHg. The patient underwent graft replacement of the bilateral pulmonary artery and the pulmonary trunk with a 16-mm ring-supported extended polytetrofluoroethylene graft under extracorporeal circulation. Histopathological findings were consistent with Takayasu’s arteritis with pulmonary artery involvement. After the operation, the pressure gradient decreased to 6 mmHg and the patient was free from exertional dyspnea.

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References

  1. Sharma S, Kamalakar T, Rajani M, Talwar KK, Shrivastava S. The incidence and patterns of pulmonary artery involvement in Takayasu’s arteritis. Clin Radiol. 1990;42:177–81.

    Article  CAS  PubMed  Google Scholar 

  2. Liu YQ, Jin BL, Ling J. Pulmonary artery involvement in aortoarteritis: an angiographic study. Cardiocasv Intervent Radiol. 1994;17:2–6.

    Article  CAS  Google Scholar 

  3. Lupi HE, Sanchez TG, Horwitz S, Gutierrez FE. Pulmonary artery involvement in Takayasu’s arteritis. Chest. 1975;67:69–74.

    Article  CAS  PubMed  Google Scholar 

  4. Yamada I, Shibuya H, Matsubara O, Umehara I, Makino T, Numano F, et al. Pulmonary artery disease in Takayasu’s arteritis: angiographic findings. AJR. 1992;159:263–9.

    Google Scholar 

  5. Moore JW, Reardon MJ, Cooley DA, Vargo TA. Severe Takayasu’s arteritis of pulmonary arteries: report of a case with successful surgical treatment. J Am Coll Cardiol. 1985;5:369–73.

    Article  CAS  PubMed  Google Scholar 

  6. Chauvaud S, Mace L, Brunewald P, Tricot L, Camilleri JP, Carpentier A. Takayasu’s arteritis with bilateral pulmonary artery stenosis: successful surgical correction. J Thorac Cardiovasc Surg. 1987;94:246–50.

    CAS  PubMed  Google Scholar 

  7. Dietl CA, Zuffardi E, Favaloro RG. Takayasu’s arteritis with bilateral pulmonary artery stenosis. J Thorac Cardiovasc Surg. 1988;96:967–70.

    CAS  PubMed  Google Scholar 

  8. Okubo S, Kunieda T, Ando M, Nakajima N, Yutani C. Idiopathic isolated pulmonary arteritis with chronic cor pulmonale. Chest. 1988;94:665–6.

    Article  CAS  PubMed  Google Scholar 

  9. Jacob H, Volb R, Stangl G, Reifart N, Rumpelt HJ, Oelert H. Surgical correction of a severe obstructed pulmonary artery bifurcation in Takayasu’s arteritis. Eur J Cardiothorac Surg. 1990;4:456–8.

    Article  Google Scholar 

  10. Sugimoto T, Ogawa K. A surgical case of Takayasu’s arteritis with bilateral pulmonary artery stenosis. J Cardiovasc Surg. 1995;36:357–8.

    CAS  Google Scholar 

  11. Sundt TM. Clinico-pathological conference in thoracic surgery: proximal pulmonary artery obstruction secondary to Takayasu’s arteritis. J Thorac Cardiovasc Surg. 2001;121:163–75.

    Article  CAS  PubMed  Google Scholar 

  12. Shikata H, Sakamoto S, Ueda Y, Tsuchishima S, Matsubara T, Nishizawa H, et al. Reconstruction of bilateral branch pulmonary artery stenosis caused Takayasu’s arteritis. Circ J. 2004;68:791–4.

    Article  PubMed  Google Scholar 

  13. Yamazaki I, Ichikawa Y, Ishii M, Hamada T, Kajiwara H. Surgical case of isolated pulmonary Takayasu’s arteritis. Circ J. 2005;69:500–2.

    Article  PubMed  Google Scholar 

  14. Nakajima N, Masuda M, Imamaki M, Ishida A, Tanabe N, Kuriyama T. A case of pulmonary artery bypass surgery for a patient with isolated Takayasu pulmonary arteritis and a review of the literature. Ann Thorac Cardiovasc Surg. 2007;13:267–71.

    PubMed  Google Scholar 

  15. Agarwal KC, Edwards WD, Feldt RH, Danielson GK, Puga FJ, McGoon DC. Clinicopathological correlates of obstructed right-sided porcin-valved extracardiac conduits. J Thorac Cardiovasc Surg. 1981;81:591–601.

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Onomichi General Hospital, 1-10-23 Hirahara, Onomichi, Hiroshima, 722-0018, Japan

    Masaki Hamamoto & Daisuke Futagami

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  1. Masaki Hamamoto
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  2. Daisuke Futagami
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Correspondence to Masaki Hamamoto.

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Hamamoto, M., Futagami, D. Pulmonary artery replacement for pulmonary Takayasu’s arteritis. Gen Thorac Cardiovasc Surg 60, 435–439 (2012). https://doi.org/10.1007/s11748-012-0019-1

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  • DOI: https://doi.org/10.1007/s11748-012-0019-1

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