Combined Endovascular and Surgical Treatment in Takayasu's Arteritis-Induced Renal Artery Stenosis (TARAS) Complicated with Vein–Graft Aneurysm of the Aorto-Renal By-pass

Abstract 

Introduction

We report a case of combined endovascular and surgical treatment in a patient with Takayasu's arteritis-induced bilateral renal artery occlusion.

Report

A 38-year-old women suffering from Takayasu's arteritis-induced renal artery stenosis (TARAS) was referred to our centre. The patient also complained of claudication and of symptoms related to ostial stenosis of superior mesenteric artery. She was treated with a sequence of open and endovascular procedures and is now on a 3-year uneventful follow-up.

Discussion

To our knowledge, this is the first case of combined endovascular and surgical treatment of TARAS performed simultaneously in one operative procedure that has ever been reported in the literature.

Keywords: Takayasu's arteritis, Renal artery angioplasty, Vein–graft aneurysm, Endovascular treatment, Drug-eluting stents