The choice of operative procedure due to Takayasu Arteriitis depends on the number of arteries involved and the clinical manifestations. The early and long term resulnt are debatable. Aim of the study. To analyse our experience of surgical treatment of patients with type I Takayasu arteritis (TA).

The EULAR diagnostic criteria for TA were used. In study were 43 patients (5 (11.6%) men and 38 (88.4%) women with TA included, mean age 26.4±8.2 years. Isolated lesions of the carotid (n=13), subclavian (n=4) and vertebral (n=1) arteries were observed in 18 (41.9%) patients, combined lesions of the branches of the aortic arch were noted in 25 (58.1%) (carotid and subclavian in 21 patients, carotid, subclavian and vertebral arteries in 3, subclavian and vertebral arteries in 1). In 15 (34.9%) patients was abdominal aorta and its visceral branches involved. TIA and Stroke was in 2 (4.7%) patients noted. Chronic upper limb ischemia was in 13 (30.2%) patients. We analysed early (30 days) and long-term (3-54 months) results after operations.

Extrathoracic replacement of the carotid artery was performed in 9 cases, total replacement of the common carotid artery - in 4 cases. Aortocarotid bifurcation bypass and aortocarotid brachial bypass were performed in 6 and 15 patients, respectively. In 4 patients, carotid-brachial (n=2) and carotid-subclavian (n=2) autovenous bypass were performed. When vertebral arteries were involved (n=5), carotid-vertebral bypass was performed in 2 cases and aorto-carotid prosthesis with inclusion of the vertebral artery was performed in 3 cases. 30-day mortality was 0%, graft thrombosis - 2.3%, reoperation - 2.3%. Local complications were noted in 11.6%. Vessel re-occlusion was observed in 4 (9.3%) patients within 36-48 months. Mortality - 2.3%, stroke - 2.3%.

Replacement and bypass of the branchio-cephalic arteries is the operation of choice for diffuse lesions of the branches of the aortic arch due to TA. The effectiveness of open reconstructions in long-term follow up was 93.1%.