Coronary artery bypass grafting from splenic artery in Takayasu arteritis

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article
Data de publicação
2015
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EDIZIONI MINERVA MEDICA
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Scopus
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Citação
CHIRURGIA-ITALY, v.28, n.1, p.33-35, 2015
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Resumo
The present report demonstrates that the splenic artery is an option as proximal blood source for saphenous vein grafts for surgical myocardial revascularization in Takayasu arterits (TA). This idiopathic vasculitis affects mainly aorta and its major branches including coronary arteries. A coronary artery bypass grafting (CABG) should be considered when coronary involvement occurs, although, calcification of the vessels affected often makes them unsuitable for use. We report the case of 56 years-old woman who presented unstable angina and multiple arterial involvement, with severe coronary lesions. The patient underwent a CABG with splenic artery as proximal blood source. After surgery, angina was resolved, with good exertional tolerance fora 2 years follow-up period. The surgical treatment of symptomatic TA was effective and safe, showing at complex surgeries without extracorporeal circulation may be greatly beneficial for that group of patients. Symptomatic improvement and excellent long-term graft patency should be expected after arterial reconstruction.
Palavras-chave
Myocardial ischemia, Takayasu arteritis, Coronary artery bypass
URI
https://observatorio.fm.usp.br/handle/OPI/24226
Referências
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Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/11
Artigos e Materiais de Revistas Científicas - LIM/17
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