Surgical Treatment for Cardiac Lesions Combined with Takayasu’s Aortitis
Surgical treatment for cardiac lesions combined with Takayasu's aortitis was carried out in six cases; four with aortic regurgitation, one with bilateral coronary ostial stenosis, and one with both aortic regurgitation and right coronary ostial stenosis. Active inflammation was seen in three cases and was treated with prednisolone pre- and postoperatively. Three cases had stenoses of the branches of the aortic arch and one of these with aortic regurgitation and hypertension died of brain damage due to intraoperative low cerebral perfusion. Aortic valve detachment occurred in one case with active inflammation, and reoperation was done 9 and 15 months after the initial operation. Transaortic coronary ostial endarterectomy was performed on three coronary arteries in two cases and sufficient patency was confirmed angiographically after surgery.