Long-Term Survival After Surgical Treatment of Patients With Takayasu’s Arteritis
- 23 September 2003
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Circulation
- Vol. 108 (12), 1474-1480
- https://doi.org/10.1161/01.cir.0000089089.42153.5e
Abstract
Background— Surgical interventions have been performed to ameliorate the complications of Takayasu’s arteritis. However, the efficacy of surgery to increase long-term survival has not been established. Methods and Results— A retrospective review was performed on the survival of 106 consecutive patients with Takayasu’s arteritis who underwent surgical treatment during the past 40 years. Their ages ranged from 5 to 69 years (mean±SEM, 31.7±1.3 years). Survival was compared with the reported results of medically treated patients according to Ishikawa’s prognostic classification. There were 12 hospital deaths, and the remaining 94 patients were followed up from 8 months to 41.8 years (mean, 19.8 years). A serious long-term complication was anastomotic aneurysm, with a cumulative incidence at 20 years of 13.8%. Thirty-one late deaths were observed, and the major cause was congestive heart failure. The overall cumulative survival rate at 20 years was 73.5%. The prognostic classification by Ishikawa had little i...This publication has 17 references indexed in Scilit:
- Differences in clinical presentation and outcome in different countries for Takayasuʼs arteritisCurrent Opinion in Rheumatology, 1997
- Surgical treatment of Takayasu arteritisHeart and Vessels, 1992
- Diagnostic approach and proposed criteria for the clinical diagnosis of Takayasu's arteriopathyJournal of the American College of Cardiology, 1988
- The Surgical Treatment of Aortic Regurgitation Secondary to AortitisThe Annals of Thoracic Surgery, 1988
- Surgical Treatment of Takayasuʼs DiseaseAnnals of Surgery, 1987
- Patterns of symptoms and prognosis in occlusive thromboaortopathy (Takayasu's disease)Journal of the American College of Cardiology, 1986
- Survival and morbidity after diagnosis of occlusive thromboaortopathy (Takayasu's disease)The American Journal of Cardiology, 1981
- Takayasu's arteritis. Clinical study of 107 casesAmerican Heart Journal, 1977
- Aortitis presenting as mitral stenosis and aortic regurgitationThorax, 1969
- Clinical and Pathological Studies of Aortitis SyndromeJapanese Heart Journal, 1968