The accessory ascending cervical artery (Murakami et al., 1996), which arises from the subclavian artery and ascends between the scalenus anterior and medius muscles, was studied in 87 Japanese adult cadavers (174 sides), with special attention being given to its origin, distribution, and relationship to other arteries at the cervical or scalenus region. In 154 sides (88.5%), the accessory asce...

Methods A 22 years old Asian woman with a history of cooling, swelling and pain of upper part of body during exercise, and cyanosis of left arm and both legs. At physical examination, she presented diminished pulses of the left arm and inferior limbs, and high blood pressure in the right arm. A Doppler showed switched flow in the left vertebral artery, and occlusion of left subclavian artery wi...

PURPOSE Although significant decrease in retinal perfusion is usually not observed before all of the cervical arteries became markedly narrowed in patients with Takayasu's disease (TD), we present bilateral glaucomatous optic neuropathy in a patient with TD without any cervical arterial stenosis. METHODS Ophthalmoscopic examination disclosed glaucomatous optic neuropathy in both eyes with 7/1...

OBJECTIVE To describe characteristic ultrasound findings and clinical features of patients with newly diagnosed cranial and large-vessel (LV) GCA in a specialized ultrasound clinic. METHODS This case-control study includes all consecutive patients between 1997 and 2006 with newly diagnosed GCA. Duplex ultrasound of the temporal, subclavian, axillary and proximal brachial arteries was performe...

Antiphospholipid syndrome (APS) is characterised by recurrent venous or arterial thrombosis and/or fetal losses. In APS, the homeostatic regulation of blood coagulation is altered, however, the mechanism of thrombosis is not yet defined and it has varied manifestations. Deep vein thrombosis with or without pulmonary embolism is the most common manifestation followed by arterial occlusion of cer...

Takayasu arteritis (TA) is an idiopathic chronic inflammatory vasculitis of the aorta and its main branches, which if not treated can lead to severe vascular damage and fatal vascular events. Glucocorticoids (GCs) are the mainstay of the therapy of TA but a significant proportion of patients tend to experience flare-ups when their GCs are tapered. We report a case of a 42-year-old female with T...

We surgically replaced the aortic root and the complex arch in a patient with aortitis syndrome with total occlusion of the cervical branches. Cerebral perfusion was being maintained through the reversed flow of the vertebral artery from the bilateral mammary arteries. Though cerebral perfusion was continued through the prosthetic grafts attached to the subclavian arteries during the procedure,...

INTRODUCTION: PNonspecific aortoarteritis is a rare autoimmune disease with the involvement and narrowing of aorta its branches leading to ischemia respective arterial region. In territory Russian Federation, most common manifestation Takayasu nonspecific lesion aortic arch, which in cases leads development so called bald arch syndrome. response hypoxia, intersystemic collaterals are formed thr...

Mural thrombus in the internal carotid artery is a source of emboli to the retinal and cerebral arteries, causing transient or permanent blindness and hemiplegia (Gunning et al., 1946b); thrombi in subclavian arteries damaged by cervical ribs form emboli which lodge in the digital arteries, inducing ischaemia of the fingers and thickened intima (Gunning et al., 1964a). Emboli from mural thrombi...

Purkayastha et al reported 3 cases of proatlantal intersegmental arteries of external carotid artery origin associated with Galen’s vein malformation; however, because of their configuration, I believe that the 3 cases do not demonstrate this rare arterial variation, but rather show collateral blood flow from the occipital artery (OA) to the vertebral artery (VA). In patients with a vein of Gal...