Tada Y, Sato O, Ohshima A, Miyata T, Shindo S
Second Department of Surgery, Faculty of Medicine, University of Tokyo, Japan.
Heart Vessels Suppl. 1992;7:159-67. doi: 10.1007/BF01744563.
From 1959 to 1991, 93 patients underwent vascular reconstruction for Takayasu arteritis at our institution. The details of the cases were as follows: 16 were of type I (brachiocephalic ischemia), 48 type II (hypertension), 13 type III (extensive lesions with cerebral ischemia and hypertension), and 16 type IV (aneurysms). Carotid reconstruction, repair of atypical aortic coarctation, renovascular reconstruction, and aneurysm repair were performed independently or in combination. Nine operative deaths occurred, 8 cases of which were operated before 1970. The most serious of the delayed complications was suture line aneurysm formation, which was encountered in ten cases. The aneurysms were often found long after the operation, some of them developing even after more than 20 years. Takayasu arteritis is characterized by extensive inflammation and destruction of the medial elastic fibers and long term postoperative observation is mandatory to improve the late survival rate.
1959年至1991年，我院有93例患者因高安动脉炎接受了血管重建手术。病例详情如下：I型（头臂缺血）16例，II型（高血压）48例，III型（伴有脑缺血和高血压的广泛病变）13例，IV型（动脉瘤）16例。独立或联合进行颈动脉重建、非典型主动脉缩窄修复、肾血管重建和动脉瘤修复。发生了9例手术死亡，其中8例在1970年前接受手术。最严重的延迟并发症是缝线处动脉瘤形成，共10例。动脉瘤常在术后很长时间才被发现，有些甚至在20多年后才出现。高安动脉炎的特点是中膜弹性纤维广泛炎症和破坏，因此必须进行长期术后观察以提高晚期生存率。
