Successful Reconstruction of Completely Obstructed Right CCA in Takayasu's Disease: Usefulness of Rapid Sequence Scanning Method—Case Report—

Abstract

The authors describe a case of Takayasu's disease accompanied by complete occlusion of the bilateral subclavian, left vertebral (VA), and right common carotid arteries (CCA) and by severe stenosis of the right VA and left CCA. The patency of the right external and internal carotid arteries was demonstrated preoperatively by rapid sequence computed tomographic scanning. The right CCA was successfully reconstructed with an aorta-CCA bifurcation bypass. Simultaneously, the stenotic left CCA was also reconstructed with an aorta-CCA bypass using a Y-shaped woven Dacron graft. © 1990, The Japan Neurosurgical Society. All rights reserved.