Aortenbogen-Syndrom

Teenager with
left arm tingling. CT angiogram of the chest with 3D reconstruction shows diffuse narrowing of the left subclavian artery beginning at its origin along with diffuse narrowing of the left vertebral artery beginning at its origin.The diagnosis was Takayasu arteritis.
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Coronary
artery aneurysms in children is not always Kawasaki disease: a case report on Takayasu arteritis. Magnetic Resonance Imaging Angiogram. a Axial view showing diffuse thickening and abnormal enhance of the thoracic and abdominal aortic walls indicative of diffuse aortitis (arrow) b, Sagittal long-axis view showing diffuse thickening (arrows) and abnormal enhance of the thoracic and abdominal aortic walls indicative of diffuse aortitis
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Takayasu
arteritis presenting as cerebral aneurysms in an 18 month old: A case report. H&E stain (200×, Fig 2A; 400×, Fig 2B) from right internal iliac artery shows transmural vasculitis with intimal thickening (asterisks) and giant cells (arrowheads). Elastic stain reveals disruption of elastic lamina (Fig 2C). AP DSA, fusiform aneurysms supraclinoid left ICA (arrowheads; Fig 2D), right ICA (arrowheads; Fig 2E). Note aneurysm clips (arrows). DSA, diminutive, irregular aorta (arrows; Fig 2F). Right common iliac artery not identified (asterisks), no flow distal left common iliac artery (arrowheads). Non-contrast head CT (Fig 2G) demonstrates acute hemorrhage (arrows).
ped-rheum.biomedcentral.com • CC-by-2.0
Insights into
imaging of aortitis. a–g A 63-year-old man with a prolonged history of Takayasu arteritis. MDCTA axial images of the chest at the level of the main and left pulmonary artery (a), right pulmonary artery (b, c) and right upper lobe demonstrate substantial thickening of the pulmonary arterial wall, especially pronounced at the level of the right pulmonary artery with almost complete occlusion of the right upper lobe branch and pulmonary infarcts (d) (arrows). T1-weighted (e), T2-weighted (f) and GD-enhanced (g) MRI images emphasise the same findings as well as substantial wall oedema seen as bright signal on T2-weighted images (f) (arrows)
insightsimaging.springeropen.com • CC-by-2.0
Multiple
aneurysms in Takayasu arteritis: An uncommon presentation. Volume rendered images (A, B, C) and curved minimum intensity projection (D) images show dilated, tortuous aorta and multiple saccular aneurysms.
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Coronary
artery involvement in pediatric Takayasu’s arteritis: Case report and literature review. Coronal (a) and Axial (b) Cardiac Gated CT Chest 4 months after systemic therapy. The right coronary artery, though still stenotic, was improved and now able to be visualized on coronal section (a, thin red arrow). The left coronary artery opened up significantly (b, blue arrow).
ped-rheum.biomedcentral.com • CC-by-2.0
Coronary
artery aneurysms in children is not always Kawasaki disease: a case report on Takayasu arteritis. Echocardiogram images showing largest coronary artery aneurysms over follow-up. a Large/giant, saccular left anterior descending coronary artery aneurysm measuring ~ 6 mm. b Moderate-sized, fusiform proximal right coronary artery aneurysm. LAD, left anterior descending; CAA, coronary artery aneurysm; RCA, right coronary artery; A, anterior; L, left
bmcrheumatol.biomedcentral.com • CC-by-4.0
Coronary
artery involvement in pediatric Takayasu’s arteritis: Case report and literature review. Coronal (a) and Axial (b) Cardiac Gated CT Chest. Fifty percent narrowing of the origin of the left coronary artery is demonstrated by arrow in (a, blue arrow). The right coronary artery should also be visible in this coronal section but was not due to stenosis (a). It can be seen as a wisp coming off the ascending aorta in the axial image (b, red arrow).
ped-rheum.biomedcentral.com • CC-by-2.0
Coronary
artery involvement in pediatric Takayasu’s arteritis: Case report and literature review. Coronal (a) and Axial (b) CT Chest. Concentric wall thickening at the origin of the major aortic arch branches: brachio-cephalic trunk (thin white arrow) and left common carotid artery origin (thick blue arrow).
ped-rheum.biomedcentral.com • CC-by-2.0
Multiple
aneurysms in Takayasu arteritis: An uncommon presentation. Sagittal (A) and axial (B) contrast-enhanced computed tomography images show circumferential mural thickening of superior mesenteric artery (yellow arrow) and right renal artery (red arrow).
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Imaging of
intestinal vasculitis focusing on MR and CT enterography: a two-way street between radiologic findings and clinical data. Intestinal vasculitis in a 35-year-old female with known Takayasu arteritis presenting with RLQ pain and elevated ESR. Axial contrast-enhanced CT scan (A) shows mural thickening and severe stenosis at the origin of the celiac artery (thin black arrow). Axial CT image (B) demonstrates circumferential mural thickening and submucosal edema at a single distal ileal segment (elbow arrow). MRE (C) was done following corticosteroid therapy after six days. Axial T2-W image shows complete resolution of corresponding ileal involvement (thick white arrow). Axial post-contrast T1-W image (D) displays concentric and irregular mural thickening and enhancement of abdominal aorta (black dotted oval) with double rings appearance (inner low and outer high enhancement). MR angiography (E) was performed. MIP image shows irregularity and multi-segmental stenosis at the distal abdominal aorta (thin white arrows). There is also bilateral stenosis at the origin of renal arteries (white arrowheads). The proximal segment of SMA shows irregularity and severe stenosis (white dotted oval). Abnormal dilatation of the arc of Riolan (white curved arrows) is evident, which supplies collateral flow to the SMA territory
insightsimaging.springeropen.com • CC-by-4.0
Concurrent
coronary artery and subclavian arterial aneurysms in Takayasu arteritis. a CT angiogram in coronal oblique plane showing aneurysm (yellow solid arrow) in proximal left subclavian artery with thrombosis of lumen. b Distal to thrombosed aneurysm (yellow solid arrow) left subclavian artery is filled through collaterals from left external carotid artery (white dotted arrow) in VRT image. Note is also made of proximal short segment occlusion of right subclavian artery (green arrow). c CT angiogram VRT image showing aneurysmal dilation of right coronary ostium (red arrow)
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Concurrent
coronary artery and subclavian arterial aneurysms in Takayasu arteritis. a Cardiac triggered navigator-gated 3D bSSFP Noncontrast MR angiogram MIP image in parasagittal view showing aneurysmal dilation of right coronary ostium (red arrow) and fusiform aneurysmal dilation of Left main coronary artery (blue arrow). b MR angiogram in oblique coronal plane showing fusiform aneurysmal dilation of Left main coronary artery (blue arrow) followed by short segment total occlusion of proximal left anterior descending artery and diffusely narrow calibre distal vessel (dotted arrow)
ejrnm.springeropen.com • CC-by-4.0
Concurrent
coronary artery and subclavian arterial aneurysms in Takayasu arteritis. Volume rendered CT angiogram in frontal projection showing aneurysmal dilation of abdominal aorta (white open arrow) and mild stenoses at ostia of celiac artery (CA) and superior mesenteric arteries (yellow arrows). This patient had atrophy of right kidney secondary to right renal artery (RRA) occlusion (red curved arrow) with single functional kidney on left side supplied by left renal artery (LRA) green dotted arrow. Tortous iliac arteries were noted to have normal diameters
ejrnm.springeropen.com • CC-by-4.0
Takayasu
arteritis presenting as cerebral aneurysms in an 18 month old: A case report. Non-contrast head CT (Fig 1A) demonstrates frontal lobe hemorrhage (arrows). Source image from MRA of the brain (Fig 1B) demonstrates 8 mm aneurysm in the distal A1 segment of the right ACA (arrowheads). DSA (AP/oblique) from right ICA injections (Fig 1C) confirms aneurysm of the distal A1 ACA segment. 3-D TOF MRA abdomen (Fig 1D) with bilateral internal iliac artery aneurysms (arrows), narrowing of mid-abdominal aorta (arrowheads), diffusely narrowed bilateral common and external iliac arteries (asterisks). 2-D TOF MRA abdomen (Fig 1E) shows worsening involvement of left common iliac artery (arrows), with right external and internal iliac arterial aneurysms unchanged (arrowheads).
ped-rheum.biomedcentral.com • CC-by-2.0
Assoziationen und Differentialdiagnosen zu Takayasu-Arteriitis:
Aorta
 
Wikipedia • CC BY-SA 3.0
Vaskulitis
 
Wikipedia • CC BY-SA 4.0
Takayasu-Arteriitis
 
pediatricimaging.org • CC-by-nc-sa 4.0