Takayasu's aortitis with renovascular hypertension: successful complex revascularization

We report a case of Takayasu's disease in a young Algerian woman with severe renovascular hypertension that failed to respond to medical treatment. There was a general inflammatory syndrome but no important immunological abnormality. Histology showed non-specific aortoarteritis. A left nephrectomy was done, a monofilament knitted polypropylene prosthesis was placed between the thoracic aorta and the aortic bifurcation, and an aorto-reno-mesenteric graft was inserted. The patient was normotensive with no further therapy 2 years later.