Korean Journal of Thoracic and Cardiovascular Surgery 2018; 51(6): 399-402  https://doi.org/10.5090/kjtcs.2018.51.6.399
A Minimally Invasive Approach for the Treatment of Mid-Aortic Syndrome in Takayasu Arteritis
Keong Jun Ha, M.D.1, Won Chul Cho, M.D.1, Wan Kee Kim, M.D.2, and Joon Bum Kim, M.D., Ph.D.2
1Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine,
2Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine
Corresponding author: Joon Bum Kim, Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea
(Tel) 82-2-3010-5416 (Fax) 82-2-3010-6966 (E-mail) jbkim1975@amc.seoul.kr
Received: May 24, 2018; Revised: August 25, 2018; Accepted: August 27, 2018.; Published online: December 5, 2018.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited
Abstract
A 61-year-old woman who presented with claudication and dyspnea on exertion was found to have severe calcified narrowing of the descending aorta and severe insufficiency of the aortic valve. These findings were compatible with Takayasu arteritis. To treat these hemodynamic abnormalities, extra-aortic bypass surgery combined with replacement of the aortic valve and ascending aorta-to-hemiarch replacement was performed through a separated upper hemi-sternotomy and limited median laparotomy. We present our successful surgical experience with this case.
Keywords: Takayasu arteritis, Aortic bypass surgery, Minimally invasive surgery, Thoracic aorta


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