Treatment with Corticosteroid and/or Immunosuppressive Agents before Surgery can Effectively Improve the Surgical Outcome in Patients with Takayasu's Arteritis

Tie Zheng, Shuai Zhu, Jia Fu Ou, Wei Gang Fang, Zhi Yu Qiao, Rui Dong Qi, Li Chen, Lei Chen, Cheng Nan Li, Li Li Pan, Qing Zhu, Dong Chen, Xue Jun Sun, Jun Ming Zhu

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objective: To analyze the clinical outcome of corticosteroid and/or immunosuppressive treatment preoperatively in patients with Takayasu's arteritis. Patients and Methods: Forty-six patients with Takayasu's arteritis who received cardiovascular surgery between January 2010 and December 2015 in Beijing Anzhen Hospital were enrolled in this study. Their clinical characteristics, preoperative drug therapy, surgical treatment, and pathological examination results were retrospectively analyzed for the effect of drugs on outcome of the surgery. Results: All 8 patients with active disease prior to surgery had postoperative complications including one death due to stubborn perivalvular regurgitation induced heart failure during the perioperative period. Among 38 patients without active disease prior to surgery, only 4 patients (10.5%) had postoperative complications. Thirty-four patients showed symptomatic relief in the perioperative period, of whom 23 patients treated with corticosteroid and/or immunosuppressive agents preoperatively. Conclusion: The surgery can effectively improve the symptoms of patients with Takayasu's arteritis. Active disease of Takayasu's arteritis markedly increased risk for postoperative complication and resulted in poor outcome of the surgery. Treatment with corticosteroid and/or immunosuppressive agents before surgery can effectively control the patient's condition, improve the rate of remission, and effectively reduce the incidence of postoperative complications.

Original languageEnglish
Pages (from-to)220-227
Number of pages8
JournalJournal of Investigative Surgery
Volume32
Issue number3
DOIs
StatePublished - Apr 3 2019

Keywords

  • Takayasu's arteritis
  • cardiac surgery
  • corticosteroid treatment
  • immunosuppressive agents
  • postoperative complications
  • remission

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