Initially characterised by involvement of the aorta and its main branches, eye disorders, and weakening of the upper extremity pulses, Takayasu arteritis is a vascular disease with unknown etiology. There are several surgical options for its treatment. A 54-year-old man with Takayasu arteritis presented in our clinic with unstable coronary artery disease. The patient underwent operation with a diagnosis of ischemic mitral regurgitation. Turunkus brakiosefalikus and left subclavian artery osteal were occluded and we also observed signs of subclavian steal syndrome. For a safe surgery and to maintain cerebral perfusion we first performed ascending aorta bypass with a dacron graft. Then we simultaneously performed aortic-coronary bypass and mitral valve surgery. Prior to the operation, we initiated a steroid therapy, which continued post-operatively. We did not observe any complications. In order to maintain cerebral perfusion, we believe that open heart surgery and vascular procedures can be simultaneously and safely applied in patients with Takayasu arteritis who are in their remission process.
Key words: Takayasu Arteritis; Aortabisubklavian Bypass; Coronary Artery Disease.
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