Abstract
We report an adult female patient with Takayasu arteritis (TA) receiving conventional medical treatment and anti-TNF therapy, which developed progressive thoracic and abdominal aortic aneurysms. She developed imminent rupture of the thoracic aneurysm and an endovascular stent-graft (EVSG) was emergency implanted and a year after this procedure the abdominal aneurysm increased in size requiring reoperation and placement of another EVSG. Both procedures had a very good outcome. This case shows the effectivity and security of multiple EVSG implantations in multiple aortic aneurisms in patients with TA.
MeSH terms
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Adult
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Aortic Aneurysm, Abdominal / diagnosis
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Aortic Aneurysm, Abdominal / etiology
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Aortic Aneurysm, Abdominal / surgery*
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Aortic Aneurysm, Thoracic / diagnosis
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Aortic Aneurysm, Thoracic / etiology
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Aortic Aneurysm, Thoracic / surgery*
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Aortography / methods
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Biological Products / therapeutic use
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Blood Vessel Prosthesis Implantation / instrumentation*
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Blood Vessel Prosthesis*
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Endovascular Procedures / instrumentation*
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Female
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Humans
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Reoperation
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Stents*
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Takayasu Arteritis / complications*
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Takayasu Arteritis / diagnosis
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Takayasu Arteritis / drug therapy*
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Takayasu Arteritis / immunology
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Tomography, X-Ray Computed
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Treatment Outcome
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Tumor Necrosis Factor-alpha / antagonists & inhibitors
Substances
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Biological Products
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Tumor Necrosis Factor-alpha