tratamento endovascular da síndrome da aorta média causada por arterite de takayasu: relato de caso endovascular treatment of the middle aortic syndrome due to takayasu’s arteritis: case report

การรักษาผ่านสายสวนหลอดเลือดในกลุ่มอาการหลอดเลือดแดงเอออร์ตาช่วงกลางที่มีสาเหตุจากโรคหลอดเลือดอักเสบทาคายาสุ: รายงานผู้ป่วย

Clicks: 276
ID: 207705
2009
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Abstract
Síndrome da aorta média (SAM) é uma condição clínica caracterizada por estenose segmentar ou difusa da aorta, hipertensão arterial e claudicação de membros inferiores. A principal causa da SAM é a arterite de Takayasu. A estenose segmentar pode estar localizada na aorta suprarrenal, renal ou infrarrenal e com alta propensão de lesões estenóticas concomitantes das artérias renais e viscerais. A gravidade da hipertensão arterial é a principal indicação para o tratmento. A técnica endovascular para o tratamento da síndrome da aorta média tem bons resultados e é a menos invasiva. No presente artigo, é descrito o tratamento com sucesso de uma estenose da aorta toracoabdominal com recanalização da artéria mesentérica superior através de angioplastia em uma mulher de 34 anos portadora de arterite de Takayasu e hipertensão arterial grave.
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.
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Authors ;Felipe Nasser;Joaquim Maurício da Motta-Leal-Filho;Francisco Cesar Carnevale;Caio Cesar Martins Focassio;Dênis Szejnfeld;Rodrigo Oliveira;José Nery Praxedes;Giovanni Guido Cerri
Journal medecine et sante tropicales
Year 2009
DOI
10.1590/S1677-54492009000400013
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492009000400013
Keywords
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