African Annals of
Thoracic and Cardiovascular Surgery

OFFICIAL PUBLICATION OF THE AFRICAN ASSOCIATION OF THORACIC AND CARDIO-VASCULAR SURGEONS
  • Abbreviation: Afr. Ann. Thorac. Cardiovasc. Surg.
  • Language: English
  • ISSN: 1994-7461
  • DOI: 10.5897/AATCVS
  • Start Year: 2005
  • Published Articles: 69

Case Report

Takayasu disease revealed by aortic insufficiency associated with an aneurysm of the ascending aorta

Kouassi Antonin Souaga
  • Kouassi Antonin Souaga
  • Cardiovascular Surgery Department, Abidjan Heart Institute, Abidjan, Côte d’Ivoire.
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Koutoua Eric Katche
  • Koutoua Eric Katche
  • Cardiovascular Surgery Department, Abidjan Heart Institute, Abidjan, Côte d’Ivoire.
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Yoboua Aime Kirioua-Kamenan
  • Yoboua Aime Kirioua-Kamenan
  • Cardiovascular Surgery Department, Abidjan Heart Institute, Abidjan, Côte d’Ivoire.
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Kwadjau Andersn Amani
  • Kwadjau Andersn Amani
  • Cardiovascular Surgery Department, Abidjan Heart Institute, Abidjan, Côte d’Ivoire.
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Jean Calaire Degre
  • Jean Calaire Degre
  • Cardiovascular Surgery Department, Abidjan Heart Institute, Abidjan, Côte d’Ivoire.
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Gnamien Randolph Niava
  • Gnamien Randolph Niava
  • Cardiovascular Surgery Department, Abidjan Heart Institute, Abidjan, Côte d’Ivoire.
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Joseph Kouame
  • Joseph Kouame
  • Anesthesia and Intensive Care Department, Abidjan Heart Institute, Abidjan, Côte d’Ivoire.
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Landry Kohou-Kone
  • Landry Kohou-Kone
  • Cardiovascular Surgery Department, Abidjan Heart Institute, Abidjan, Côte d’Ivoire.
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Kouassi Flavien Kendja
  • Kouassi Flavien Kendja
  • Cardiovascular Surgery Department, Abidjan Heart Institute, Abidjan, Côte d’Ivoire.
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  •  Received: 06 December 2021
  •  Accepted: 10 February 2023
  •  Published: 31 August 2023

Abstract

Takayasu's disease is a rare inflammatory disease of unknown etiology that affects the large vessels, particularly the aorta and its major branches. A case of 29-year-old patient received for surgical management of severe aortic insufficiency was reported. Preoperative clinical and paraclinical investigations revealed a dilatation of the ascending aorta associated with a stenosis of the left subclavian artery and an inflammatory syndrome. This patient underwent a successful Banhson operation. Pathological analysis of the surgical specimen confirmed the diagnosis of Takayasu disease. In conclusion, aortic valve replacement combined with ascending aorta replacement performed in an inflammatory context was successful. However, it requires monitoring to detect complications related to tissue fragility.

Key words: Takayasu disease, aortic insufficiency, aneurysm.