Synonyms:
a.k.a. aortic arch syndrome a.k.a. Takayasu’s arteritis:
Diagnosis:
Arteriography:
- Irregular vessel walls, stenosis, poststenotic dilation, aneurysms, occlusion, collaterals
- Usually smooth stenosis of the common carotid and the subclavian arteries
Other imaging:
- Ultrasound: thickened intima layer
- CT: thickened enhancing walls
- MRA
Treatment:
Control the symptoms and inflammation before surgery:
- Prednisolone,
Correct the anatomical defects:
- Angioplasty +/-Stenting as appropriate
- Surgery as appropriate