Document Detail

Non specific aorto-arteritis. Clinical picture, diagnosis and therapy.
MedLine Citation:
PMID:  10479918     Owner:  NLM     Status:  MEDLINE    
This study is aimed at analyzing clinical features, angiographic findings and evolution of Takayasu's arteritis and the criteria adopted to establish the indication for non-surgical versus operative treatment. Eighteen patients affected by non specific aortarteritis were observed and treated at our Department between 1973 and 1996. All patients met the American College of Rheumatology 1990 criteria of classification of Takayasu's arteritis. Sixteen patients were young females. Two patients were males. Nine patients underwent surgical procedures. One young female underwent a PTA. All eight asymptomatic patients were only medically treated. One patient died some days after an aorto-bicarotid bypass graft due to acute myocardial infarction. Two other patients died two and four years after intervention for renal and cardiac failure respectively. One patient after an aorto bicarotid bypass underwent a left hemiplegia due to thrombosis of the right graft branch. All the other 14 patients either surgically or medically treated are well and are under strict surveillance through rigorous follow-up. The 10 patients who underwent surgical or interventional radiological treatment were certainly the most seriously affected patients and were symptomatic (presented neurological disturbances or a severe hypertensive state). This fact explains, to some extent, the mortality and morbidity rate observed in this group. The seven medically treated patients were completely asymptomatic in spite of a major involvement of various vascular districts.
S Miani; M De Monti; G Keller; M G Bordoni; E Bianchi; F Giordanengo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Panminerva medica     Volume:  41     ISSN:  0031-0808     ISO Abbreviation:  Panminerva Med     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-09-30     Completed Date:  1999-09-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0421110     Medline TA:  Panminerva Med     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  161-70     Citation Subset:  IM    
Istituto di Chirurgia Generale e Cardiovascolare Università degli Studi, Milano, Italy.
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MeSH Terms
Follow-Up Studies
Middle Aged
Takayasu Arteritis / diagnosis*,  pathology,  surgery,  therapy*

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