| Pulmonary artery disease in Takayasu's arteritis: angiographic findings. | |
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MedLine Citation:
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PMID: 1352939 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One hundred sixteen arteriographic examinations in 98 patients with Takayasu's arteritis were studied retrospectively to evaluate the extent of aortic and pulmonary disease. Stenosis was the most frequent finding in the aorta and its branches, but occlusion, dilatation, and aneurysms were also seen. Adventitial vascular structures, consistent with dilated vasa vasorum, were observed in five patients (5%) and systemic artery-pulmonary artery communication was seen in six (6%). Twenty-one (70%) of 30 patients who had pulmonary arteriography were shown to have pulmonary artery involvement. Upper lobe pulmonary arterial branches showed abnormalities most frequently; segmental branches, followed by subsegmental branches, were most often involved. The frequency of abnormal findings on pulmonary arteriograms correlated with the number of involved brachiocephalic vessels. Stenotic lesions in the aorta and its branches progressed in five (45%) of 11 patients, and those in the pulmonary artery progressed in one (33%) of three cases. Takayasu's arteritis characteristically involves the systemic and pulmonary arteries, and the extent of arteritis in the major branches of the aortic arch appears to correlate with pulmonary arterial involvement. Both thoracic and abdominal aortographic studies and pulmonary arteriography are necessary to properly diagnose the extent of the disease, and angiography should be repeated for appropriate patient follow-up. |
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Authors:
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I Yamada; H Shibuya; O Matsubara; I Umehara; T Makino; F Numano; S Suzuki |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 159 ISSN: 0361-803X ISO Abbreviation: AJR Am J Roentgenol Publication Date: 1992 Aug |
Date Detail:
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Created Date: 1992-08-18 Completed Date: 1992-08-18 Revised Date: 2008-02-15 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 263-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Faculty of Medicine, Tokyo Medical and Dental University, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aorta, Abdominal / radiography Aorta, Thoracic / radiography Aortic Valve Insufficiency / radiography Aortic Valve Stenosis / radiography Arterial Occlusive Diseases / radiography Child Female Humans Male Middle Aged Pulmonary Artery / radiography* Retrospective Studies Takayasu Arteritis / radiography* |
| Comments/Corrections | |
Comment In:
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AJR Am J Roentgenol. 1993 Nov;161(5):1112-3
[PMID:
7903844
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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