Bakhritdinov F Sh, Suyumov A S, Sharapov N U
Republican Specialized Centre of Surgery named after Academician V.V. Vakhidov, Tashkent, Uzbekistan.
Angiol Sosud Khir. 2016;22(4):144-150.
The authors analysed herein the results of examination and surgical treatment of patients presenting with Takayasu aortoarteritis with an isolated lesion of the aortic arch branches. Discrepancy between the degree of ischaemia, dissemination, and localization of lesions, as well as ambiguity of neurological manifestations suggests large compensatory possibilities of the cerebral circulation in this disease. The revealed peculiarities of lesions of the brachiocephalic arteries characteristic the pathology concerned were as follows: high incidence of lesions of subclavian arteries (mainly in the second and third segments), utterly rare involvement of the brachiocephalic trunk, a stenosisng pattern of lesion of carotid arteries with predominant localization in the common carotid artery, not involving it into the process of bifurcation. The outcomes of surgical treatment of patients suggest high efficacy of reconstructive operations in the overwhelming majority of the operated patients, also demonstrating considerable advantage of extrathoracic operations as compared with transthoracic ones.
作者在此分析了患有主动脉弓分支孤立病变的高安动脉炎患者的检查及手术治疗结果。缺血程度、病变扩散及定位之间的差异，以及神经学表现的不明确性表明，该病中脑循环具有很大的代偿可能性。所揭示的头臂动脉病变特点如下：锁骨下动脉病变发生率高（主要在第二和第三段），头臂干受累极为罕见，颈动脉病变呈狭窄型，主要位于颈总动脉，不累及分叉处。患者的手术治疗结果表明，绝大多数接受手术的患者进行重建手术的疗效很高，同时也显示出与经胸手术相比，胸外手术具有相当大的优势。
