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Jornal Vascular Brasileiro

Print version ISSN 1677-5449

Abstract

NASSER, Felipe et al. Endovascular treatment of the middle aortic syndrome due to Takayasu’s arteritis: case report. J. vasc. bras. [online]. 2009, vol.8, n.4, pp.359-363. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492009000400013.

Middle aortic syndrome (MAS) is a clinical condition characterized by segmental or diffuse narrowing of the aorta, hypertension, and lower limb claudication. The main cause of MAS is Takayasu’s arteritis. Segmental aortic stenosis may be located at the suprarenal, renal or infrarenal aorta with high tendency to concomitant stenosis in both the renal and visceral arteries. Severity of hypertension is the primary indication for intervention. Endovascular therapy is a minimally invasive treatment for MAS and may provide good results. In the present report, we describe a successful endovascular treatment of stenosis of the thoracoabdominal aorta with recanalization of the superior mesenteric artery using angioplasty in a 34-year-old woman with Takaysu’s arteritis and severe hypertension.

Keywords : Takayasu’s arteritis; balloon angioplasty; stents; abdominal aorta; renal artery obstruction; celiac artery.

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