A case of aortic root replacement for annuloaortic ectasia due to Takayasu's arteritis in active inflammatory phase-Reference-Cited by-同舟云学术

A case of aortic root replacement for annuloaortic ectasia due to Takayasu's arteritis in active inflammatory phase

Published:2023-08-29 Issue:8 Volume:31 Page:731-734
ISSN:0218-4923
Container-title:Asian Cardiovascular and Thoracic Annals
language:en
Short-container-title:Asian Cardiovasc Thorac Ann

Author:

Mikami Takuma¹²^ORCID,Shiiku Chikara¹²,Numaguchi Ryosuke¹²^ORCID,Nishikawa Mikito¹²,Oikawa Tatsuya¹²,Yoshida Ichiro¹²

Affiliation:

1. Department of Cardiovascular Surgery, National Hospital Organization, Obihiro Hospital, Hokkaido, Japan

2. Department of Cardiovascular Medicine, Obihiro Kyokai Hospital, Hokkaido, Japan

Abstract

A 39-year-old man was admitted with acute heart failure due to severe aortic regurgitation induced by annuloaortic ectasia associated with Takayasu's arteritis. Because of the active inflammatory phase associated with Takayasu's arteritis, surgery is typically performed following immune suppression by steroid therapy. Herein, we report a favorable recovery in the active inflammatory phase. Steroid therapy was initiated shortly following surgery. The decision to perform aortic root replacement without prior steroid therapy was made because the patient's risk of subsequent heart failures was deemed high and was complicated by other comorbidities.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/02184923231198568

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