| A Case of Thoracoabdominal Aortic
Aneurysm, Renovascular Hypertension with Ipsilateral Kidney Associated
with Takayasu's Disease |
(Department of Cardiovascular Surgery, National
Cardiovascular Center, Osaka, Japan)
| Yuji Hanafusa |
Yutaka Okita |
Motomi Ando |
| Osamu Tagusari |
Kenji Minatoya |
Ritsu Matsukawa |
| Soichiro Kitamura |
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A 71-year-old woman who had Takayasu's
disease underwent Y-grafting, bypass grafting between the abdominal
aorta and left renal artery with 8mm ePTFE graft and right nephrectomy
for infrarenal abdominal aortic aneurysm and renovascular hypertension
(RVH). Four years after the first operation, the bypass graft
became occluded and hypertension was exacerbated. Magnetic resonance
angiography revealed that the left renal artery was supplied
by the collateral arteries. We performed replacement of the thoracoabdominal
aorta and reconstruction of the left renal artery using the saphenous
vein. Postoperatively serum creatinine level decreased and hypertension
was controllable. She was discharged from the hospital and has
been well for three years.
Jpn. J. Cardiovasc. Surg. 30：157-160 (2001) |
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