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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

TAPIA R, ROBERTO et al. Takayasu's arteritis: report of a case with supraaortic compromise and surgical treatment. Rev Chil Cir [online]. 2008, vol.60, n.6, pp.538-541. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262008000600010.

Takayasu's arteritis is a chronic inflammatory vasculitis of large vessels. It was first identified by Japanese ophthalmologist Nikito Takayasu, in 1908. A case of Takayasu's arteritis is presented, clinically diagnosed according to the criteria of the American College of Rheumatology of 1990. This is a 23 year oíd patient, entering Talca's Regional Hospital for a stroke, also presenting symptoms of subclavian steal. An angio CT was made, showing severe commitment (total occlusion) in the middle and distal third of the brachiocephalic trunk, right common carotid and the beginning of right subclavian artery. In addition, this test shows retrograde flow on the right vertebral artery, compatible with the subclavian steal syndrome. It was decided to correct the subclavian occiusion through angioplasty, without success, in both the anterograde and retrograde approach; finally opting for a prosthetic bypass (expanded polytetrafluoroethylene) from left common carotid to right subclavian artery through a tunnel of the subcutaneous front of the neck.

Palabras clave : Takayasu's arteritis; vasculitis.

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