BACKGROUND: Several controversial matters still remain unresolved in the management of @entity12040 , especially after vascular intervention. First, a definitive diagnostic tool has not been established to assess disease activity correctly. Second, the optimal medical regimen has not been established to prevent @entity455 . Surgical treatments have been rarely performed to relieve @entity455 in isolated pulmonary @entity12040 , but their postoperative courses on long-term follow-up periods have not been sufficiently reported. CASE PRESENTATION: A 48-year-old @entity1 underwent a successful graft replacement for severe right main @entity849 due to isolated pulmonary @entity12040 . The @entity1 had remained asymptomatic with no clinical inflammatory signs under adequate anticoagulation therapy since then. However, stenosis of the prosthetic graft accompanied by marked @entity120 was detected 18 months after surgery. Anti-inflammatory treatment with only 5 mg/day of oral @entity617 was then implemented, and the stenosis remained unchanged with the @entity1 being stable for the next 16 months. CONCLUSIONS: This is the first published case report that describes the actual clinical course with a long-term follow-up period after surgery for isolated pulmonary @entity12040 , including images of the stenosed prosthetic graft. This case suggests that @entity1 should be followed with multiple complementary diagnostic techniques on the assumption that restenosis is highly possible and unpredictable even after surgery. Besides, sufficient anti-inflammatory treatment should be applied as soon as possible after surgery no matter how inactive the disease appears to be, although its optimal regimen especially during the inactive inflammatory phase needs to be further established.

Pitfalls in the management of isolated pulmonary XXXX after surgery: a case report of an experience during 34  months after a pulmonary artery graft replacement.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'man'] @entity455 :: ('MESH:D014652', 'Disease') :: ['critical vascular stenosis', 'restenosis of the vascular lesion'] @entity120 :: ('MESH:D006976', 'Disease') :: ['pulmonary hypertension'] @entity12040 :: ('MESH:D013625', 'Disease') :: ["Takayasu's arteritis"] @entity849 :: ('MESH:D011666', 'Disease') :: ['pulmonary artery stenosis'] @entity617 :: ('MESH:D011239', 'Chemical') :: ['prednisolone']
@entity12040 :: (MESH:D013625,Disease) :: ['Takayasu's arteritis']
