Complex redo cervical and vertebral artery reconstruction for Takayasu arteritis

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

doi:10.1016/j.jvscit.2020.10.008

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 journal › Article › peer-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 language	English (US)
Pages (from-to)	78-83
Number of pages	6
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	7
Issue number	1
DOIs	https://doi.org/10.1016/j.jvscit.2020.10.008
State	Published - Mar 2021
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2020 The Authors

Keywords

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jvscit.2020.10.008

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title = "Complex redo cervical and vertebral artery reconstruction for Takayasu arteritis",

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.",

keywords = "Anastomotic pseudoaneurysm, Carotid artery, Cerebrovascular, Cryopreserved arterial allograft, Redo operation, Subclavian artery, Takayasu arteritis (TA), Vertebral artery",

author = "Mirza, {Aleem K.} and {Cirillo Penn}, {Nolan C.} and Brown, {Robert D.} and Bower, {Thomas C.}",

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doi = "10.1016/j.jvscit.2020.10.008",

language = "English (US)",

volume = "7",

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T1 - Complex redo cervical and vertebral artery reconstruction for Takayasu arteritis

AU - Mirza, Aleem K.

AU - Cirillo Penn, Nolan C.

AU - Brown, Robert D.

AU - Bower, Thomas C.

PY - 2021/3

Y1 - 2021/3

N2 - 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.

AB - 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.

KW - Anastomotic pseudoaneurysm

KW - Carotid artery

KW - Cerebrovascular

KW - Cryopreserved arterial allograft

KW - Redo operation

KW - Subclavian artery

KW - Takayasu arteritis (TA)

KW - Vertebral artery

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Complex redo cervical and vertebral artery reconstruction for Takayasu arteritis

Abstract

Bibliographical note

Keywords

UN SDGs

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