American Journal of Roentgenology, Vol 159, 263-269, Copyright © 1992 by American Roentgen Ray Society

ARTICLES

Pulmonary artery disease in Takayasu's arteritis: angiographic findings

I Yamada, H Shibuya, O Matsubara, I Umehara, T Makino, F Numano and S Suzuki
Department of Radiology, Faculty of Medicine, Tokyo Medical and Dental University, Japan.

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.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				H. L. Gornik and M. A. Creager Aortitis Circulation, June 10, 2008; 117(23): 3039 - 3051. [Full Text] [PDF]

				J.-P. Pelage, M. El Hajjam, C. Lagrange, T. Chinet, A. Vieillard-Baron, S. Chagnon, and P. Lacombe Pulmonary Artery Interventions: An Overview RadioGraphics, November 1, 2005; 25(6): 1653 - 1667. [Abstract] [Full Text] [PDF]

				M. Y. Desai, J. H. Stone, T. K. F. Foo, D. B. Hellmann, J. A. C. Lima, and D. A. Bluemke Delayed Contrast-Enhanced MRI of the Aortic Wall in Takayasu's Arteritis: Initial Experience Am. J. Roentgenol., May 1, 2005; 184(5): 1427 - 1431. [Abstract] [Full Text] [PDF]

				I S Malik, O Harare, A AL-Nahhas, K Beatt, and J Mason Takayasu's arteritis: management of left main stem stenosis Heart, March 1, 2003; 89(3): e9 - 9. [Abstract] [Full Text] [PDF]

				V P R Aluquin, S A Albano, F Chan, C Sandborg, and P T Pitlick Magnetic resonance imaging in the diagnosis and follow up of Takayasu's arteritis in children Ann Rheum Dis, June 1, 2002; 61(6): 526 - 529. [Abstract] [Full Text] [PDF]

				A G Rockall, D Rickards, and P J Shaw Imaging of the pulmonary manifestations of systemic disease Postgrad. Med. J., October 1, 2001; 77(912): 621 - 638. [Full Text] [PDF]

				K.-H. Do, J. M. Goo, J.-G. Im, K. W. Kim, J. W. Chung, and J. H. Park Systemic Arterial Supply to the Lungs in Adults: Spiral CT Findings RadioGraphics, March 1, 2001; 21(2): 387 - 402. [Abstract] [Full Text] [PDF]