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Ann Thorac Surg 2005;80:1914-1916
© 2005 The Society of Thoracic Surgeons

Case report

Successful Surgical Treatment of Takayasu's Arteritis Associated With Pyoderma Gangrenosum

Shinji Kanemitsu, MD, PhD * , Takatsugu Shimono, MD, PhD, Hitoshi Kusagawa, MD, PhD, Koji Onoda, MD, PhD, Isao Yada, MD, PhD

Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Mie, Japan

Accepted for publication June 4, 2004.

* Address correspondence to Dr Kanemitsu, Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, 2-174, Edobashi, Tsu, Mie, 514–8507 Japan (Email: kanemitsu{at}kosei.anjo.aichi.jp).

Pyoderma gangrenosum is rarely associated with Takayasu's arteritis. We report the successful surgical treatment of a 34-year-old woman who was diagnosed with pyoderma gangrenosum associated with thoracic aortic aneurysm and dissection due to Takayasu's arteritis. She underwent graft replacement of the thoracic aortic aneurysm under cardiopulmonary bypass, with perioperative management using prednisolone and cyclosporine A. She has had no evidence of the development of skin lesions or the progression of Takayasu's arteritis.




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