ArticleHeart and vessels2015
Late aneurysm formation of Valsalva sinus after aortic valve replacement due to Takayasu's arteritis.
Article in Heart and vessels, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Fate of the moderately diseased aorta: a single-center experience.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2023Article
- Risk factors and surgical prognosis in patients with aortic valve involvement caused by Takayasu arteritis.Arthritis research & therapy · 2022Article
- Subvalvular tissue mimicking valve detachment-like pathology by vertical aneurysm in Takayasu's arteritis.Interactive cardiovascular and thoracic surgery · 2022Article
- Case Report: Disappearance of Coronary Anastomotic Aneurysm by Steroid Therapy in Takayasu Arteritis: Pseudorepair of Pseudoaneurysm?Frontiers in cardiovascular medicine · 2021Article
- A case of IgG4-related lymphadenopathy, pericarditis, coronary artery periarteritis and luminal stenosis.Heart and vessels · 2016Article
- Comparison of clinical characteristics in patients with Takayasu arteritis with and without concomitant tuberculosis.Heart and vessels · 2016Article
- A novel susceptibility locus for Takayasu arteritis in the IL12B region can be a genetic marker of disease severity.Heart and vessels · 2016Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Takayasu's arteritis (TA) is an inflammatory disease of unknown etiology involving the aorta and its branches, and also causes aortic regurgitation (AR). One of the most serious but rare complications after aortic valve replacement (AVR) in TA is aneurysm formation of the sinus of Valsalva. A 64-year-old woman had undergone AVR with a prosthetic valve for AR due to TA 4 years earlier and had received an implanted permanent pacemaker for complete atrioventricular block (AVB) 2 years later. Aortography 4 years postoperatively demonstrated aneurysm formation (47 mm in diameter) at the sinus of Valsalva although preoperative aortography showed severe AR without dilatation of the sinus of Valsalva. We recommended reoperation for the aneurysm but the patient refused. The perioperative histopathological examination revealed extensive destruction of the medial elastic fibers. Both the fragility of the sinus of Valsalva and the residual inflammation could have caused the patient's aneurysm formation. Moreover, extension of TA into the ventricular septum or mechanical compression of the aneurysm against the conduction system might have caused her progressive AVB. Close and lifelong follow-up for patients with TA regarding development of aneurysm after surgical treatment is indispensable when fragility of the aortic root had been confirmed.
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