Surgical treatment of atypical aortic coarctation complicating Takayasu's arteritis-experience with 33 cases over 44 years

The long-term survival after surgery for atypical aortic coarctation was satisfactory. However, our study showed that complications associated with cardiovascular system or the operation could occur at any time after surgery; thus, life-long follow-up is mandatory. Further, the absence of normalization of blood pressure after surgery was a poor prognostic factor. Our results demonstrate the need for an intimate preoperative evaluation of renal and carotid artery lesions, which often coexist and may also cause secondary hypertension, to fully manage hypertension by surgery.