Diseases of the aorta associated with diminished or absent pulses in the extremities have received considerable attention in the recent medical literature. When the upper extremity pulses are affected, etiologic considerations include syphilitic aortitis, trauma, congenital anomalies, chronic dissection, thrombocytosis, nonsyphilitic aortitis, and atheromatosis.1 Nonsyphilitic aortitis includes the disease state known as "Takayashu's syndrome," or "young female arteritis."2-5 The term "pulseless disease" has also been applied to this latter unique entity; thus this descriptive phrase should not be applied to the other, for the most part more common, conditions under discussion.
Although arteriosclerosis of the distal aorta is not infrequently responsible for impairment of the pulses in the lower extremities (Leriche's syndrome),6-14 it is an unusual cause of obliteration of the pulses in the arteries arising from the aortic arch.1 A review of the recent literature indicates that simultaneous impedance of the blood flow to both
ABRAMS WB, GERE JB. Arteriosclerosis of the Aorta: Report of an Unusual Case with Features of Leriche's Syndrome, Aortic Arch Syndrome, and Left Ventricular Hypertrophy. AMA Arch Intern Med. 1957;100(2):283–289. doi:10.1001/archinte.1957.00260080109022
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