The giant cell arteritides: Diagnosis and the role of surgery

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Presentation transcript:

The giant cell arteritides: Diagnosis and the role of surgery John W. Joyce, M.D. Journal of Vascular Surgery Volume 3, Issue 5, Pages 827-833 (May 1986) DOI: 10.1016/0741-5214(86)90057-1 Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Temporal arteritis. Typical intermittent tapered stenoses of axillary, brachial arteries, generous collateral vessels were seen. Similar lesion was found in left arm. Journal of Vascular Surgery 1986 3, 827-833DOI: (10.1016/0741-5214(86)90057-1) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Takayasu's arteritis. Patient was 22-year-old woman who had syncope or blindness when sitting upright. Irregular innominate artery, tapered lesions in left carotid and subclavian arteries, and occluded distal subclavian vessels were seen. Note intact internal carotid arteries. Steroid therapy was used to suppress disease, and aorto-bilateral internal carotid bypass grafts were placed. Patient had been asymptomatic since operation. Journal of Vascular Surgery 1986 3, 827-833DOI: (10.1016/0741-5214(86)90057-1) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Takayasu's arteritis. Angiogram shows focal tapered stenosis of subclavian, vertebral, thyrocervical, and internal mammary arteries. Patients had lesser lesion on left subclavian artery. Journal of Vascular Surgery 1986 3, 827-833DOI: (10.1016/0741-5214(86)90057-1) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Takayasu's arteritis. Angiogram shows thoracoabdominal aneurysm, irregularities of abdominal aorta, renal and celiac artery stenosis, and occlusion of superior mesenteric artery (same patient as in Fig. 2). Journal of Vascular Surgery 1986 3, 827-833DOI: (10.1016/0741-5214(86)90057-1) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions