Takayasu arteritis: radiographic and angiographic findings in 59 patients.

Abstract

Fifty-nine patients (57 females, two males) with Takayasu arteritis were retrospectively evaluated. Chest radiographs were abnormal in 68% of patients in whom they were obtained (n = 49). Aortic contour changes and calcification were frequent findings. Sixty-eight percent of patients who underwent total aortography (n = 50) had panaortitis, and 28% had involvement confined to the thoracic aorta and/or its branches. Stenosis was the most common angiographic finding in the aorta and its branches, but occlusion (n = 4), aneurysm (n = 3), and dilatation (n = 15) were not infrequent. Adventitial vascular structures (the vasa vasorum) were seen in three cases. Eighty-six percent (n = 21) of pulmonary arteriograms showed abnormalities. Occlusion was by far the most common finding. There was no predilection for any lobe nor correlation with systemic arteritis. It was concluded that Takayasu arteritis characteristically involves the systemic and the pulmonary arteries independently. Total aortography and pulmonary arteriography are necessary to diagnose and evaluate the extent of the disease.

Takayasu arteritis: angiographic findings and results of angioplasty

“…arteritis is a nonspecific inflammatory process of unknown cause segmentally affecting the aorta and its branches [6][7][8].…”

“…Lupi and Seoane [3] suggested the addition of type IV, in which the pulmonary artery also is involved. Because the clinical features are determined by the extent and severity of the specific artery involved in the occlusive phase of the disease, total aortography is very important [6][7][8]. Thoracic and abdominal aortography must be done in all patients to visualize the entire aorta and all of its branches [6][7][8].…”

A Rare Cause of Renovascular Hypertension: Takayasu Arteritis with Only Renal Artery Involvement

“…In order to detect which parts or segments of aorta are involved, aortography has to be done. [8,9] In this case, because of accompanying hypokalemia, increased potassium excretion in urine, and metabolic alkalosis, primary hyperaldosteronism or renal artery stenosis was thought to be the possible etiology of hypertension. The ratio of plasma renin activity over serum aldosterone level was 30, but because of a fourfold increased renin activity and mildly increased aldosterone level, the ratio was not meaningful.…”

Atypical Takayasu arteritis with solitary stenosis in the short segment of right axillary artery

“…The common involved sites are the aorta and its major branches, and the pulmonary artery is also often affected [3]. Takayasu's arteritis predominantly affects women.…”

“…Takayasu's arteritis predominantly affects women. The clinical presentation is characterized by an acute phase with constitutional symptoms such as fever and malaise, followed by a chronic phase in which symptoms relate to stenosis or occlusion of vessels [1][2][3][4]. We here report a rare case of Japanese male patient who presented as a fever of unknown origin, and showed a solitary stenosis in the short segment of right axillary artery.…”