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Takayasu arteritis: clinical features and management: report of 272 cases
Author(s) -
Mwipatayi Bibombe P.,
Jeffery Peter C.,
Beningfield Steve J.,
Matley Philip J.,
Naidoo Naid G.,
Kalla Abdullah A,
Kahn Del
Publication year - 2005
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2005.03312.x
Subject(s) - medicine , arteritis , takayasu's arteritis , natural history , etiology , renal artery stenosis , stenosis , aortitis , cardiology , aortic bifurcation , rheumatology , disease , surgery , pediatrics , aorta , renal artery , vasculitis , kidney
Background: Takayasu's arteritis is a condition of unknown aetiology with an unpredictable natural history. Most of the literature available has originated from Asia, with a few contributions from Africa where the pattern of the disease may be different. This is a single institution's experience review. Methods: Data were obtained retrospectively from the angiographic and medical records of patients treated at Groote Schuur Hospital over the period 1952−2002. The criteria for inclusion were those proposed by the Aortitis Syndrome Research Committee of Japan and the American College of Rheumatology. Results: Two hundred and seventy‐two patients were identified. The mean age at presentation was 25 years (range 14−66 years) and 75% were female. Only 8% were Caucasian. Hypertension was the most common presentation (77%) and was usually a consequence of renal artery stenosis or aortic coarctation. Cardiac failure was the most common problem. Cerebrovascular symptoms were recorded in 20%. Convincing evidence of tuberculosis was present in 20%. The entire aorta was involved in 70% of cases. Thirty per cent had aortic bifurcation involvement. Occlusions were noted in 93% and aneurysms in 46%. Vascular reconstruction was performed on 115 occasions in 99 patients, with an operative mortality of 4%. Cardiac failure was the usual cause of death. One hundred and six patients (39%) were followed for a minimum of 5 years. No further progression of disease was noted in 70 patients. Conclusion: The natural history and prognosis of Takayasu's arteritis still remain poorly defined.