Surgical Correction of Takayasu's Arteritis Involving Both Coronary and Pulmonary Arteries.

We describe a patient presenting with acute heart failure due to obliteration of the bilateral coronary arteries and pulmonary arteries with Takayasu's arteritis who was undergoing surgical correction. The diseased vessels provoked chest pain and severe dyspnea. Urgent surgical correction successfully resolved heart failure by coronary artery bypass graft using bilateral in situ internal thoracic arteries and by patch winding of the left pulmonary artery. Surgically relieving obliterated vessels with Takayasu's arteritis is an effective therapy for a patient presenting with severe heart failure.