Description of Event or Problem · 1
THE FOLLOWING ARTICLE WAS REVIEWED BY GORE: TITLE: MIDAORTIC SYNDROME DUE TO TAKAYASU ARTERITIS IN A CHILD WITH ACUTE DECOMPENSATED CARDIAC FAILURE MANAGED BY AN EMERGENCY AXILLO-EXTERNAL ILIAC ARTERY BYPASS: A FOLLOW-UP CASE REPORT OF LONG-TERM OUTCOMES SOURCE: ANN VASC SURG 2020; 64: 408.E5¿408.E9. THIS ARTICLE PRESENTS THE CASE OF AN (B)(6) GIRL WHO DEVELOPED ACUTE DECOMPENSATED CARDIAC, RESPIRATORY, AND RENAL FAILURES BECAUSE OF AN OCCLUSION OF THE DESCENDING AORTA SECONDARY TO TAKAYASU ARTERITIS (TA). ALTHOUGH THORACOABDOMINALEAORTIC BYPASS IS USUALLY PERFORMED FOR PATIENTS WITH MAS, THE PROCEDURE WAS CONSIDERED TOO INVASIVE, GIVEN THE PATIENT¿S CONDITION. THEREFORE, AN EMERGENCY AXILLO-EXTERNAL ILIAC ARTERY BYPASS FOR REVASCULARIZATION WAS PERFORMED. SUBSEQUENTLY, ORGAN FAILURE IMPROVED AND SHE WAS DISCHARGED. AT POSTOPERATIVE 10 YEARS, AN ASYMPTOMATIC PSEUDOANEURYSM WAS DETECTED AT THE DISTAL ANASTOMOSIS, FOR WHICH REVISION SURGERY WAS PERFORMED. OVERALL, THE LONG-TERM PROGNOSIS WAS SATISFACTORY, SUGGESTING THAT THIS PROCEDURE IS LESS INVASIVE AND EFFECTIVE FOR TREATMENT OF MAS DUE TO TA, IN EMERGENCIES.