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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2010, Number 3

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Rev Mex Angiol 2010; 38 (3)

Reparación de aneurisma de aorta abdominal por vía retroperitoneal en un paciente con síndrome de sobreposición

Flores GG, Peña RE, González JL, Rivera RL, Rivera GMA

Language: Spanish
References: 15
Page: 111-116
PDF size: 194.74 Kb.


ABSTRACT

Takayasu arteritis is defined as an idiopathic inflammatory vasculopathy of large elastic arteries, causing occlusive of ectasicos changes in the aorta and its branches (braquicephalic trunk, carotid, subclavian, vertebral and renal) as well as in the coronary and pulmonary arteries. Presents a clinical case of a male patient aged 20, with a medical history of coarctation of the aorta diagnosed 5 years ago and treated with angioplasty. The patient also has systemic arterial hypertension secondary to this condition. As well as ankilosing spondylitis of recent diagnosed and treatment. During hospitalization development abdominal pain, concluding the presence of abdominal aortic aneurysm and right renal aneurysm, and decrease of the left thoracic limb pulse, as well as primitive iliac arteries occlusion. We performed aneurysm resection and interposition of an aortobifemoral graft. Given the clinical condition, the laboratory, cabinet and histopathology results. We conclude that the patient attends a overlap syndrome according to the criteria of the American College of Rheumatology for ankilosing spondylitis and Takayasu Arthritis and Ishikawa criteria.


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