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Aortic valve replacement for Takayasu's arteritis by Ohteki, Hitoshi; Itoh, Tsuyoshi; Natsuaki, Masafumi; Minato, Naoki; Ueno, Tetsuya; Suda, Hisao; Naito, Kohzo; Norita, Hiroaki; Sakai, Hiroshi is a Medicine article available to read on EtoBox.

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We report 12 cases of aortic valve replacement performed for Takayasu's arteritis and discuss the genesis of aortic regurgitation and the clinical outcome after aortic valve replacement. This group of twelve patients who underwent aortic valve replacement between April 1982 and March 1990 included four male and eight female patients, aged 24 to 67 years (mean age 48 years). Preoperative angiography showed systemic multiple stenoocclusive or aneurysmal dilated vascular lesions in addition to aortic regurgitation. The multiple lesions included a lesion in the aortic arch branch in nine (75 %), in the pulmonary artery in seven (58%), an aneurysmal dilation in the ascending aorta of more than 6 em in four (33% ~a coronary lesion in four (33%), a thoracic aortic lesion in six (50%), and a lesion in the abdominal aorta and its visceral branch in six (50%). Simple aortic valve replacement alone was performed in two patients and in combination with another operation in ten patients, with aortic root reconstruction in two, ascending aortic plication in three, coronary artery bypass grafting in two, aortic arch branch bypass grafting in one, aortic arch branch bypass grafting and coronary os

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Author

Ohteki, Hitoshi; Itoh, Tsuyoshi; Natsuaki, Masafumi; Minato, Naoki; Ueno, Tetsuya; Suda, Hisao; Naito, Kohzo; Norita, Hiroaki; Sakai, Hiroshi

Publisher

CTSNet; American Association for Thoracic Surgery; Mosby Inc.; Elsevier BV; Publons (ISSN 1097-685X)

Published

1992

Language

EN

Field

Medicine (Health Sciences)