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Challenges of treatment of aortic obstruction in Takayasu disease
Caroline Ovaert, Edouard Gitenay, Alain Fraisse
Journal:

Cardiology in the Young / Volume 25 / Issue 4 / April 2015

Published online by Cambridge University Press:

07 July 2014, pp. 803-805
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Diffuse aortitis, as seen in Takayasu disease, is characterised by extreme wall fragility, associated with a high risk of complications such as dissection and aneurysm formation, following endovascular treatment. We report a patient with Takayasu disease who presented with a very difficult clinical course associated with several unfavourable outcomes of stent insertion.

Novel percutaneous femoral arterial-transthoracic approach for closure of ascending aortic pseudoaneurysm with a septal occluder device in a child
Samer I. Masri, Marianne N. Majdalani, Fadi F. Bitar
Journal:

Cardiology in the Young / Volume 24 / Issue 4 / August 2014

Published online by Cambridge University Press:

09 September 2013, pp. 752-755
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Ascending aortic pseudoaneurysms are a rare complication following cardiac surgery. Their traditional surgical management carries high morbidity and mortality, especially in patients with multiple comorbidities. Transcatheter closure of these pseudoaneurysms using a septal occluder device has been previously reported in adults as an alternative approach with fewer complications. We report the first case of a novel percutaneous femoral arterial-transthoracic approach for exclusion of an ascending aortic pseudoaneurysm with an Amplatzer atrial septal occluder device in a 9-year-old child with Takayasu's arteritis.

11 - BEHÇET’S DISEASE
from PART I: - INFECTIOUS AND INFLAMMATORY CONDITIONS
- By Emre Kumral
Edited by Louis R. Caplan, Julien Bogousslavsky
Book:

Uncommon Causes of Stroke

Published online:

06 January 2010

Print publication:

09 October 2008, pp 67-74
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Summary

In Takayasu disease, the aortic arch, with its main arterial trunks and the descending aorta, as well as renal arteries, is the main site of inflammation. Takayasu disease is thought to begin clinically with symptoms of systemic inflammation or with eye symptoms. Cerebral vascular disease is usually a consequence of severe hypertension, or carotid or brachiocephalic obstruction. Recently, it has been emphasized that use of Doppler ultrasound, computed tomography angiography, and positron emission tomography (PET) scan, magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) in combination, may facilitate the detection of Takayasu disease activity at a more treatable stage. Concerning the treatment and management of Takayasu disease patients with stroke, one has to consider the treatment of Takayasu disease and stroke separately. Subclavian steal syndrome or moderate carotid stenosis, as well as renal artery stenosis may be an indication for angioplasty and/or stenting.