Synonyms:

a.k.a. aortic arch syndrome a.k.a. Takayasu’s arteritis:

Diagnosis:

Arteriography:

• Irregular vessel walls, stenosis, poststenotic dilation, aneurysms, occlusion, collaterals
• Usually smooth stenosis of the common carotid and the subclavian arteries

Other imaging:

• Ultrasound: thickened intima layer
• CT: thickened enhancing walls
• MRA

Treatment:

Control the symptoms and inflammation before surgery:

• Prednisolone,

Correct the anatomical defects:

• Angioplasty +/-Stenting as appropriate
• Surgery as appropriate