D'Cruz, I. A.; Kulkarni, T. P.; Gandhi, M. J.; Juthani, V. J.; Murti, Prema K.
January 1970
Angiology;Jan1970, Vol. 21 Issue 1, p49
Academic Journal
The present-day concept of idiopathic aortitis has expanded to embrace stenotic or aneurysmal changes of any part of the aorta (or its major branches) throughout its entire length, separately or in any combination. The entity thus includes a wide spectrum of syndromes of arterial insufficiency. We describe a series of 13 patients; the diagnosis was established by aortography in 12 and by autopsy in the remaining case. The supradiaphragmatic descending aorta was involved in four of our patients, the abdominal aorta in seven, and the bifurcation of the aorta in eight. Stenosis or occlusion of one or more of the arteries arising from the aortic arch was present in six patients, but always in association with more distal aortic lesions. The main presenting symptoms were heart failure, attacks of syncope or giddiness, hemiplegia and intermittent claudication of the lower limbs. Systemic hypertension proximal to the sites of stenosis was found in 11 patients. Systolic bruits over stenotic arteries were heard in five patients. Autopsy in one case revealed tuberculous abdominal lymph glands directly contiguous to the stenotic segment of aorta. Four patients were subjected to reconstructive vascular surgery. There were two operative deaths, but the two survivors made a very satisfactory improvement.


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