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Aortic-Carotid Bypass Prothesis in Treatment of Pulseless Disease: Report of a Case

Aortic-Carotid Bypass Prothesis in Treatment of Pulseless Disease: Report of a Case Abstract Thrombo-obliterative disease of the branches of the aortic arch, also known as "pulseless disease," or Takayasu's disease,1 is a condition of uncertain etiology, characterized by a lack of pulsation in one or more of the major branches of the aortic arch and ischemic manifestations in the area of distribution of the occluded vessels. Surgical correction of this condition has been attempted in eight cases. Two were reported by Shimizu and Sano,2 who attempted thrombectomy through the sacrificed external carotid artery in one case and resected the carotid bifurcation, using a venous homograft between the common and internal carotid arteries in a second case. Thromboendarterectomy was performed in five cases.3-6 The first instance of surgical correction employing a bypass was reported by De Bakey and co-workers.4 Treatment was directed toward relief of claudication in the upper extremity, and a nylon bifurcation prosthesis was implanted from the aorta References 1. Supplied by Ethicon Suture Laboratories, Somerville, N. J. 2. Takayasu, M.: Case of Queer Changes in Central Blood Vessels of Retina , Acta Soc. ophth. japon. 12:554, 1908. 3. Shimizu, K., and Sano, K.: Pulseless Disease , J. Neuropath. & Clin. Neurol. 1:37-47 ( (Jan.) ) 1951 4. abstracted, J. A. M. A. 145:1095 ( (April 7) ) 1951. 5. Ross, R. S., and McKusick, V. A.: Aortic Arch Syndromes: Diminished or Absent Pulses in Arteries Arising from Arch of Aorta , A. M. A. Arch. Int. Med. 92:701-740 ( (Nov.) ) 1953. 6. De Bakey, M. E.; Morris, G. C., Jr.; Jordan, G. L., Jr., and Cooley, D. A.: Segmental Thrombo-Obliterative Disease of Branches of Aortic Arch: Successful Surgical Treatment , J. A. M. A. 166:998-1003 ( (March 1) ) 1958. 7. Davis, J. B.; Grove, W. J., and Julian, O. C.: Thrombotic Occlusion of Branches of Aortic Arch; Martorell's Syndrome: Report of Case Treated Surgically , Ann. Surg. 144:124-126 ( (July) ) 1956.. 8. Warren, R., and Triedman, L. J.: Pulseless Disease and Carotid-Artery Thrombosis: Surgical Considerations , New England J. Med. 257:685-690 ( (Oct. 10) ) 1957. 9. Kalmansohn, R. B., and Kalmansohn, R. W.: Thrombotic Obliteration of Branches of Aortic Arch , Circulation 15:237-244 ( (Feb.) ) 1957. 10. Wagener, H. P.: The Ocular Lesions of Pulseless Disease , Am. J. M. Sc. 235:220-234 ( (Feb.) ) 1958. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Aortic-Carotid Bypass Prothesis in Treatment of Pulseless Disease: Report of a Case

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320030016003
Publisher site
See Article on Publisher Site

Abstract

Abstract Thrombo-obliterative disease of the branches of the aortic arch, also known as "pulseless disease," or Takayasu's disease,1 is a condition of uncertain etiology, characterized by a lack of pulsation in one or more of the major branches of the aortic arch and ischemic manifestations in the area of distribution of the occluded vessels. Surgical correction of this condition has been attempted in eight cases. Two were reported by Shimizu and Sano,2 who attempted thrombectomy through the sacrificed external carotid artery in one case and resected the carotid bifurcation, using a venous homograft between the common and internal carotid arteries in a second case. Thromboendarterectomy was performed in five cases.3-6 The first instance of surgical correction employing a bypass was reported by De Bakey and co-workers.4 Treatment was directed toward relief of claudication in the upper extremity, and a nylon bifurcation prosthesis was implanted from the aorta References 1. Supplied by Ethicon Suture Laboratories, Somerville, N. J. 2. Takayasu, M.: Case of Queer Changes in Central Blood Vessels of Retina , Acta Soc. ophth. japon. 12:554, 1908. 3. Shimizu, K., and Sano, K.: Pulseless Disease , J. Neuropath. & Clin. Neurol. 1:37-47 ( (Jan.) ) 1951 4. abstracted, J. A. M. A. 145:1095 ( (April 7) ) 1951. 5. Ross, R. S., and McKusick, V. A.: Aortic Arch Syndromes: Diminished or Absent Pulses in Arteries Arising from Arch of Aorta , A. M. A. Arch. Int. Med. 92:701-740 ( (Nov.) ) 1953. 6. De Bakey, M. E.; Morris, G. C., Jr.; Jordan, G. L., Jr., and Cooley, D. A.: Segmental Thrombo-Obliterative Disease of Branches of Aortic Arch: Successful Surgical Treatment , J. A. M. A. 166:998-1003 ( (March 1) ) 1958. 7. Davis, J. B.; Grove, W. J., and Julian, O. C.: Thrombotic Occlusion of Branches of Aortic Arch; Martorell's Syndrome: Report of Case Treated Surgically , Ann. Surg. 144:124-126 ( (July) ) 1956.. 8. Warren, R., and Triedman, L. J.: Pulseless Disease and Carotid-Artery Thrombosis: Surgical Considerations , New England J. Med. 257:685-690 ( (Oct. 10) ) 1957. 9. Kalmansohn, R. B., and Kalmansohn, R. W.: Thrombotic Obliteration of Branches of Aortic Arch , Circulation 15:237-244 ( (Feb.) ) 1957. 10. Wagener, H. P.: The Ocular Lesions of Pulseless Disease , Am. J. M. Sc. 235:220-234 ( (Feb.) ) 1958.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Mar 1, 1959

References