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Coronary artery bypass grafting in Takayasu’s disease – importance of the proximal anastomosis: a case report

Overview of attention for article published in Journal of Medical Case Reports, December 2015
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Title
Coronary artery bypass grafting in Takayasu’s disease – importance of the proximal anastomosis: a case report
Published in
Journal of Medical Case Reports, December 2015
DOI 10.1186/s13256-015-0767-5
Pubmed ID
Authors

Anne Kuijer, Matthijs F. M. van Oosterhout, Geoffrey T. L. Kloppenburg, Wim J. Morshuis

Abstract

Treatment of coronary artery involvement in Takayasu's arteritis is challenging. Coronary artery bypass grafting may be required. The use of saphenous vein grafts is recommended because of possible inflammatory involvement of the internal thoracic arteries. However, inserting the proximal anastomosis on inflamed aortic tissue may give rise to stenosis. Only a few cases of inserting a proximal anastomosis in patients with Takayasu's arteritis have been reported in the literature. To date, no consensus has been reached on the best way to perform this procedure in patients with Takayasu's arteritis. We report a case of a 25-year-old white woman with Takayasu's arteritis who had recurrent angina after two previous treatments had failed, due to left main stem stenosis. She was successfully treated by coronary artery bypass grafting using a Dacron patch to insert the proximal anastomosis. We are the first to report an uncomplicated case in which a Dacron (Vascutek®, Renfrewshire) prosthetic patch was used to insert the proximal anastomosis on an inflamed aorta in a patient with Takayasu's arteritis. The patch prevents contact between inflamed tissue and the graft, which we believe reduces the risk of graft failure. This case might inspire other thoracic surgeons in the challenging task of performing revascularization techniques in patients with an inflamed and fragile aorta.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 13 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 13 100%

Demographic breakdown

Readers by professional status Count As %
Librarian 3 23%
Student > Master 3 23%
Researcher 2 15%
Student > Ph. D. Student 2 15%
Student > Bachelor 1 8%
Other 2 15%
Readers by discipline Count As %
Medicine and Dentistry 8 62%
Economics, Econometrics and Finance 1 8%
Agricultural and Biological Sciences 1 8%
Unknown 3 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 December 2015.
All research outputs
#20,897,167
of 25,670,640 outputs
Outputs from Journal of Medical Case Reports
#2,542
of 4,636 outputs
Outputs of similar age
#293,943
of 397,805 outputs
Outputs of similar age from Journal of Medical Case Reports
#18
of 34 outputs
Altmetric has tracked 25,670,640 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,636 research outputs from this source. They receive a mean Attention Score of 3.9. This one is in the 16th percentile – i.e., 16% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 397,805 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 14th percentile – i.e., 14% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 34 others from the same source and published within six weeks on either side of this one. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.