Long-term outcome of thoracoabdominal aortic repair for nonspecific aortoarteritis

• Beloyartsev D.F.
• Kulbak V.A.
• Polyansky D.V.
• Timina I.E.

Abstract

Stenoses of the thoracoabdominal aorta and its branches in nonspecific aortoarteritis are observed with a frequency of 19.4–39.2%. Such changes have previously been often described as “atypical aortic coarctation”, “middle aortic syndrome”. According to the literature, only a small number of authors have experience with surgical interventions in the progression of the process in the visceral and renal arteries after aortic reconstructions.

We herein present a clinical case report regarding sequential surgical treatment for nonspecific aortoarteritis: almost 38-year outcome after thoracoabdominal aortic repair, 14-year outcome after inferior mesenteric-left renal bypass, and 7-year outcome after right common iliac-superior mesenteric bypass.

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Beloyartsev D.F.; data collection and handling – Kulbak V.A., Polyansky D.V., Timina I.E.; draft manuscript preparation – Beloyartsev D.F., Kulbak V.A., Polyansky D.V.; manuscript revision – Beloyartsev D.F.

For citation: Beloyartsev D.F., Kulbak V.A., Polyansky D.V., Timina I.E. Long-term outcome of thoracoabdominal aortic repair for nonspecific aortoarteritis. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2023; 29 (4): 59–65. DOI: https://doi.org/10.33029/1027-6661-2023-29-4-59-65

Keywords:nonspecific aortoarteritis; Takayasu’s disease; mid-aortic syndrome; surgical treatment; thoracoabdominal aortic repair