Takayasu's arteritis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]
Overview
Surgery
Severe stenotic lesions should be treated by angioplasty or surgical revascularization during periods of remission.
Indications for surgical repair or angioplasty are as follow:
- Renovascular stenosis causing hypertension
- Coronary artery stenosis leading to myocardial ischemia
- Extremity claudication induced by routine activity
- Cerebral ischemia and/or critical stenosis of 3 or more cerebral vessels
- Aortic regurgitation
- Thoracic or abdominal aneurysms larger than 5 cm in diameter
- Severe coarctation of the aorta
Bypass graft surgery
Bypass graft surgery is the procedure with the best long-term patency rate.