Arterial reconstruction for non-specific @entity3468 ( XXXX ): medium to long term results.

@entity1 @entity64 @entity66 @entity2792 @entity3468 @entity177 @entity12040 @entity299 @entity2333 @entity204 @entity1756
There is little information on reconstructive arterial surgery for Takayasu @entity3468 , and the approach is generally negative in this regard. Common causes of @entity204 are @entity64 , @entity1756 and the complications of @entity2792 and @entity177 . The present study aims to examine the results of arterial reconstruction in the medium and long term in @entity1 with histologically proven @entity12040 . In the last 11 years 134 @entity1 have been referred to the vascular service of whom 81 (60%) were suitable for operation. Forty-nine were @entity1 ; age range 3-45 years (average 29.5 years). In 28 the disease was confined to the aortic arch (Type 1); 41 had descending aortic involvement (Type II); six had a combination of arch and @entity2333 (Type 111) and two associated @entity299 (Type IV). Four had isolated peripheral lesions (Type V). Seventy percent of these lesions were aneurysmal. Of the 28 type I @entity1 , two had aortic arch reconstruction, seven segmental replacement. Of the 49 with @entity66 26 had thoraco-abdominal aortic replacement using a bypass technique. The remainder had infrarenal aortic replacement and bypass procedures. Type V (four @entity1 ) had interposition grafts. Overall operative mortality in the Type I @entity1 was 3.6% ( @entity64 ) and in the type II-IV 4%. All of the latter followed operation for @entity1756 and there were no elective deaths. Three months to 11 years after operation four @entity1 (5%) developed fatal progression of the disease and seven (8.9) non-fatal disease progression of whom three required surgical intervention.(ABSTRACT TRUNCATED AT 250 WORDS)
