Edit concept Question Editor Create issue ticket

Aortic Arch Syndrome


Presentation

  • The clinicopathologic features of a 62-year-old woman with the aortic arch syndrome who presented with ischemic ocular inflammation, followed by complete loss of vision, is presented.[ncbi.nlm.nih.gov]
  • One study suggested that a low ESR, early treatment with steroids and a stable condition at presentation were factors which predicted a good prognosis. [ 17 ][patient.info]
  • Involvement of renal arteries may lead to presentation as renovascular hypertension.[icd.codes]
Fever
  • A 64 year old woman complained of aches and stiffness of the neck and the shoulders with fever and E.S.R. increase. A nonsteroid anti-inflammatory treatment was unsuccessful.[ncbi.nlm.nih.gov]
  • CASE REPORT A 65-year-old white housewife was first seen at the Mayo Clinic on November 19, 1965, for evaluation of weakness, malaise, anorexia, and fever of 1 FULL TEXT[annals.org]
  • In this book, you will learn topics such as Autoimmunity and Autoimmune Diseases, Systemic Lupus Erythematosus, Rheumatoid Arthritis, and Acute Rheumatic Fever plus much more.[books.google.de]
  • Fever. Amaurosis fugax. Blurred vision. Pathological radiological findings in the middle region of the right or left subclavian artery. Minor criteria Elevation of ESR 20 mm/hour.[patient.info]
  • Symptoms of vasculitis can vary, but usually include fever, swelling and a general sense of feeling ill. The main goal of treatment is to stop the inflammation. Steroids and other medicines to stop inflammation are often helpful.[icdlist.com]
Abdominal Pain
  • Gastrointestinal - abdominal pain from ischaemia/infarction of bowel. Also renal (haematuria) and dermatological (rashes including erythema multiforme and induratum).[patient.info]
  • In some people, decreased blood flow to the intestines may lead to abdominal pain , especially after meals. Continued Decreased blood flow to the kidneys may cause high blood pressure , but rarely causes kidney failure .[webmd.com]
  • These symptoms may range from abdominal pain after eating secondary to narrowing of the mesenteric arteries to renovascular hypertension to claudication of extremities.[emedicine.com]
Nausea
  • The pain causes patients to avoid eating, which can lead to weight loss (often more than 20 pounds).Other associated symptoms may include: Nausea Diarrhea Vomiting Delayed gastric emptying (a delay in food moving from the stomach into the small intestine[my.clevelandclinic.org]
  • During the occlusive phase, symptoms include: Fatigue Muscle weakness Pain Cramping Nausea Vomiting Cold or white hands or feet High blood pressure Weak or absent pulse Vision problems A difference in blood pressure between the arms and the legs.[vascular.surgery.ucsf.edu]
Jaw Claudication
  • The patient had a history of pain, coldness and paraesthesia of the right arm, jaw claudication, and intense headaches. He was being treated with two antihypertensive drugs due to arterial hypertension.[academic.oup.com]
  • A woman in her 70s developed severe right-sided temporal pain and jaw claudication. Two months later, she developed bilateral arm pain, which was worse on the left; chest pain on exertion; and shortness of breath.[jamanetwork.com]
Neck Pain
  • Typical clinical features of carotid artery dissection include unilateral neck pain, headache, and ipsilateral Horner's syndrome in up to 50% of patients, followed by manifestations of the cerebral or ocular ischemia and cranial nerve palsies.[intranet.tdmu.edu.ua]
Vertigo
  • Symptoms consist of aphasia, transient hemiparesis, unilateral transient amblyopia or persistent blindness, headache, vertigo, syncopal attacks, and muscle wasting.[whonamedit.com]
  • Variable disease presentation between different populations is well illustrated by Moriwaki et al in their study of Indian and Japanese patients. 11 The Japanese patients (n 80) were predominantly female (96%), presenting with dizziness, vertigo, pulselessness[ncbi.nlm.nih.gov]
Dysphasia
  • A 55-year-old woman with an aortic arch syndrome of acute onset and dysphasia, resulting from the excessive administration of ergotamine tartrate suppositories, is described.[ncbi.nlm.nih.gov]
  • A number of higher cortical functions, including speech and language disturbances, can be affected by thromboembolic phenomena from the carotid artery with the most important clinical example for the dominant hemisphere being dysphasia or aphasia, and[intranet.tdmu.edu.ua]
Speech Disorders
  • He had speech disorder, hemifacialmicrosomia, bilateral epibulbardermolipoma, bilateral preauricular tags and triangular face. His general appearance was compatible with GS [Figure 2].[annalspc.com]
Renal Insufficiency
  • Renal Insufficiency. There is no standard adjustment of corticosteroid dose for a patient with renal insufficiency. B. Liver Insufficiency. There is no standard adjustment of corticosteroid dose for a patient with liver disease. C.[cancertherapyadvisor.com]
  • CTA involves X-ray exposure and both MRA and CTA are contraindicated in renal insufficiency. MRA also provides information on the vessel wall.[rheumatologyadvisor.com]
Hematuria
  • Patients with aortocaval fistula present with abdominal pain, venous hypertension (ie, leg edema), hematuria, and high output cardiac failure. Patients with thoracic aneurysms are often asymptomatic.[intranet.tdmu.edu.ua]

Workup

Treatment

  • The editors have built Aortic Arch Syndromes: Advances in Research and Treatment: 2011 Edition on the vast information databases of ScholarlyNews.[books.google.de]
  • A nonsteroid anti-inflammatory treatment was unsuccessful. A clinical examination revealed absence of both radial pulses and presence of murmurs at level of the carotids.[ncbi.nlm.nih.gov]
  • A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.[stlukes-stl.com]
  • Links: clinical features diagnosis treatment and prognosis[gpnotebook.co.uk]

Prognosis

  • Links: clinical features diagnosis treatment and prognosis[gpnotebook.co.uk]
  • One study suggested that a low ESR, early treatment with steroids and a stable condition at presentation were factors which predicted a good prognosis. [ 17 ][patient.info]
  • The condition is progressive, and the prognosis is poor. Death usually occurs after a few years, although survival for 20 years after onset of symptoms has been reported. Probably of autoimmune origin.[whonamedit.com]
  • (See Prognosis, Presentation, and Workup.)[emedicine.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Patient further underwent CECT neck and chest to evaluate for the possible neoplastic etiology in neck or chest.[casereports.in]
  • Etiology The etiology of Takayasu arteritis is unknown.[emedicine.com]

Epidemiology

  • Takayasu's arteritis was first described by Mikito Takayasu in 1908. [ 3 ] Epidemiology [ 3 ] Takayasu's arteritis is rare.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology and ocular manifestations of chronic ocular ischemia are discussed.[ncbi.nlm.nih.gov]
  • Conclusion Our findings indicate novel genetic susceptibility loci for Takayasu arteritis and uncover potentially important aspects of the pathophysiology of this form of vasculitis.[doi.org]
  • In children, Takayasu arteritis is one of the more common etiologies of renovascular hypertension. [3] (See Pathophysiology and Epidemiology.)[emedicine.com]

Prevention

  • This study will evaluate the effectiveness of abatacept in treating GCA and TAK and preventing disease relapse.[clinicaltrials.gov]
  • This is to prevent the life threatening complications of aneurysm rupture or aortic dissection.[archprojects.org]
  • The ICA is clamped first using a soft, noncrushing vascular clamp to prevent distal embolization. The external and common carotid arteries are clamped subsequently.[intranet.tdmu.edu.ua]
  • Children’s heart conditions can’t be prevented, but a lot can be done to improve and often completely repair their hearts at any age.[nemours.org]
  • The severe underdevelopment of the left heart structures prevents oxygen-rich blood from flowing to the body normally. Thus, the right heart takes over and pumps blood to the body through the PDA.[medmovie.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!