Chirurgische Therapie und Pathologie der Takayasu-Arteriitis

Abstract

Surgical Therapy and Pathology of Takayasu-ArteriitisSummary. The pathology of so-called Takayasu's disease is an allergic-hyperergic grannlomatous arteriitis affecting predominantly the aortic arch and its major branches in young women. The arteriitis seems to begin in the adventitia, i.d. in the vasa vasorum, with extension to the media. The restoration of the carotid artery and surgical therapy of hypertension caused by atypical coarctation of the aorta or renovascular lesions are needed, for the occlusive process of the carotid artery causes not infrequently blindness and the patients die mostly of cardiac or cerebrovascular insufficiency due to hypertension.Although the prosthetic bypass graft from the ascending aorta to the internal carotid artery is effective for the carotid-insufficiency, the problems of operative indication remain to be resolved.