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Ann Thorac Surg 1992;54:359-360
© 1992 The Society of Thoracic Surgeons

Articles

Surgical reconstruction of an ascending aortic dissection in Takayasu's arteritis

Yoshiyuki Haga, MD*, Hiroshi Yoshizu, MD, Eriya Okuda, MD, Yozo Uriuda, MD, Atsuhiro Mitsumaru, MD, Seiichi Tamai, MD, Susumu Tanaka, MD

Departments of Surgery II and Laboratory Medicine, National Defense Medical College, Saitama, Japan

Accepted for publication November 25, 1991.

* Address reprint requests to Dr Haga, Department of Surgery II, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama 359, Japan.

A 45-year-old Japanese woman with Stanford type A dissecting aortic aneurysm underwent a reconstructive operation on the ascending aorta. Histopathological diagnosis was Takayasu's arteritis in the chronic and inactive phase. It is very rare that a dissecting aortic aneurysm results from Takayasu's arteritis. Long-standing hypertension and fragility of the aortic media due to disruption of elastic fibers were suspected to cause dissection in the entire aorta in this case.






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