Takayasu arteritis

Case contributed by Dr Hani Salam
CT

Narrowed ostium of the major aortic branches.

Suprarenal fusiform abdominal aortic aneurysm.

Infrarenal aortic narrowing with a saccular aneurysm at the inferior mesenteric artery origin, and at the origin of the right common iliac artery.

Case Discussion

CTA of a patient with Takayasu arteritis (pulseless disease).

Granulomatous inflammatory vasculitis affects walls of medium and large vessels. Marked intimal proliferation and fibrosis lead to occlusion and narrowing of aorta and involved arteries; aneurysms may also be found.

Age: 90% < 30 years (in contradistinction to all other arteritis).

More common in females. M:F 1:8

Types

  • type 1: aortic arch
  • type 2: abdominal aorta
  • type 3: entire aorta
  • type 4: pulmonary arteries

Radiographic features

  • stenoses of arch vessels (most common)
  • stenosis and occlusion of aorta (may mimic coarctation)
  • thickening of aortic wall
  • pulmonary artery involvement, 50%
  • abdominal aorta coarctation and renal artery stenoses
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Case information

rID: 7020
Published: 3rd Sep 2009
Last edited: 15th Dec 2019
System: Vascular
Inclusion in quiz mode: Included

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