Complex redo cervical and vertebral artery reconstruction for Takayasu arteritis

Aleem K. Mirza, Nolan C. Cirillo Penn, Robert D. Brown, Thomas C. Bower

Research output: Contribution to journalArticlepeer-review

Abstract

A 54-year-old woman presented with an enlarging, pulsatile left neck mass and a history of Takayasu arteritis. She had seven prior cervical vascular reconstructions, including a prosthetic right-to-left carotid crossover, and left vertebral and subclavian bypasses done with saphenous vein. The skin of her neck was scarred and thin. The anastomotic pseudoaneurysms were resected, the left carotid bifurcation was reconstructed with the cryopreserved femoral artery because of the concern about wound healing, and the subclavian and vertebral vein grafts were reimplanted. Intraoperative management, clamp sites and sequence, manner of shunting, choice of conduit, and wound healing were important considerations.

Original languageEnglish (US)
Pages (from-to)78-83
Number of pages6
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume7
Issue number1
DOIs
StatePublished - Mar 2021

Keywords

  • Anastomotic pseudoaneurysm
  • Carotid artery
  • Cerebrovascular
  • Cryopreserved arterial allograft
  • Redo operation
  • Subclavian artery
  • Takayasu arteritis (TA)
  • Vertebral artery

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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