Case Reports A Case of Takayasu's Arteritis: Pseudoaneurysm in the Tube Graft Anastomosis of the Descending Aorta

Coarctation of descending thoracic aorta was found in a ten-year-old girl. Granulomatous type Takayasu arteritis was diagnosed histopathologically following surgery at which prosthetic graft interposition was performed. During the follow-up immune suppression was maintained with corticosteroids and cyclophosphamide along with antihypertensive therapy. Angiographic examination was performed three years later and revealed a 6x5 cm diatemer false aneurysm at the distal anastomotic site of prosthesis at descending thoracic aorta. Abdominal aorta was stenotic along its length and there were stenoses at both iliac arteries and at right renal artery. She underwent an operation at which the false aneurysm of the descending aorta was repaired using 18 mm dacron tube graft with inclusion and simple clamping technique. The patient has been followed up under antihypertensive therapy.