Department of Cardiovascular Surgery, National Hospital Organization, Obihiro Hospital, Hokkaido, Japan.
Department of Cardiovascular Medicine, Obihiro Kyokai Hospital, Hokkaido, Japan.
Asian Cardiovasc Thorac Ann. 2023 Oct;31(8):731-734. doi: 10.1177/02184923231198568. Epub 2023 Aug 29.
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.
一位 39 岁男性因升主动脉扩张伴 Takayasu 动脉炎导致重度主动脉瓣反流引起急性心力衰竭而入院。由于 Takayasu 动脉炎的活动炎症期，通常在类固醇治疗抑制免疫后进行手术。在此，我们报告了活动炎症期的良好恢复。手术后立即开始进行类固醇治疗。在没有预先进行类固醇治疗的情况下决定进行主动脉根部置换术，是因为患者随后发生心力衰竭的风险较高，并伴有其他合并症。
