Echocardiography was performed in 18 patients with the aortitis syndrome and in 20 age-matched normal volunteers. The aortic root dimension, the aortic dimension at the level of the sinotubular ridge, the aortic arch dimension, the left ventricular internal dimension, the left atrial dimension, the interventricular septal thickness, and the left ventricular posterior wall thickness were measured. All measurements, except for the left atrial dimension, were significantly greater in patients with aortitis syndrome than in the control subjects. We concluded (1) that the patients with the aortitis syndrome may have an enlarged or narrowed aorta, a dilated left ventricle and left atrium, and a thickened interventricular septum and left ventricular posterior wall; (2) that the incidence and the degree of these abnormalities depend on the presence of complications such as aortic regurgitation and arterial hypertension; and (3) that M-mode as well a cross- sectional echocardiography plays an important role in the assessment of the aorta and heart in the aortitis syndrome.
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References
1.
Takayasu, M. : Case with unusual changes of the central vessels in the retina. Acta Soc. Ophthalmol. Jap., 12: 554-555, 1908 (in Japanese).
2.
Judge, R.D., Currier, R.D., Gracie, W.A., et al.: Takayasu's arteritis and the aortic arch syndrome. Am. J. Med.32: 379-392, 1962.
3.
Ueno, A., Awane, Y., Wakabayashi, A., et al.: Successfully operated obliterative brachiocephalic arteritis (Takayasu) associated with the elongated coarctation. Jap. Heart J., 8: 538-544, 1967.
4.
Oota, K.: Ein Seltener Fall von beiderseitigem Carotis-Subclaviaverschluss. (Ein Beitrag zur Pathologie der Anastomosis Peripapillaries des Auges mit fehlendem Radialpuls.)Trans. Soc. Pathol. Jap., 30: 680, 1940.
5.
Nasu, T.: Pathology of pulseless disease. A systematic study and critical review of twenty-one autopsy cases reported in Japan. Angiology, 14: 225-242, 1962.
6.
Nasu, T.: Takayasu's truncoarteitis in Japan. A statistical observation of 76 autopsy cases. Pathol. Microbiol., 43: 140-146, 1975.
7.
Nakao, K., Ikeda, M., Kimata, S., et al.: Takayasu's arteritis. Clinical report of eighty-four cases and immunological studies of seven cases. Circulation, 35: 1141-1155, 1967.
8.
Lupi, H.E., Sánchez, T.G., Horwitz, S., et al.: Pulmonary artery involvement in Takayasu's arteritis. Chest67: 69-74, 1975.
9.
Lupi-Herrera, E., Sánchez-Torres , G., Marcushamer, J., et al.: Takayasu's arteritis. Clinical study of 107 cases. Am. Heart J., 93: 94-103, 1977.
10.
Ueda, H., Ito, I., Okada, R., et al.: Aortic arch syndrome with special reference to pulseless disease and its variants. Jap. Heart J., 4: 224-232, 1963.
11.
Committee on study of arteritis: Clinical and pathological studies of aortitis syndrome. Committee report. Jap. Heart J., 9: 76-87, 1968.
12.
Morooka, S., Ito, I., Yamaguchi, H., et al.: Follow-up observation of aortitis syndrome. Jap. Heart J., 13: 201-213, 1972.
13.
Takeuchi, K., Tanaka, C., Furukawa, K., et al.: Echocardiographic diagnosis of the ascending aortic aneurysm . Proceedings of the 24th Meeting of the Japanese Society of Medical Ultrasonics. 1973, pp. 103-104 (in Japanese).
14.
Nishimura, K., Hibi, N., Kato , T., et al.: Real-time observation of cardiac movement and structures in congenital and acquired heart diseases employing high-speed ultrasonocardiotomography. Am. Heart J., 92: 340-350, 1976.
Goldberg, B.B. : Ultrasonic measurement of the aortic arch, right pulmonary artery, and left atrium. Radiology, 101: 383-390, 1971.
17.
Amplatz, K. , Formanek, G., Stanger , P., et al.: Mechanics of selective coronary artery catheterization via femoral approach. Radiology, 89: 1040-1047, 1967.
18.
McAlpine, W.A. : Heart and Coronary Arteries. An Anatomical Atlas for Clinical Diagnosis, Radiological Investigation, and Surgical Treatment . Berlin, Springer-Verlag, 1975, p. 23.
19.
Botvinick, E.H., Schiller, N.B., Wickramasekaran , R., et al.: Echocardiographic demonstration of early mitral valve closure in severe aortic insufficiency. Its clinical implications. Circulation, 51: 836-847, 1975.
20.
Lundström, N., Mortensson, W.: Clinical applications of echocardiography in infants and children. II. Estimation of aortic root diameter and left atrial size: A comparison between echocardiography and angiocardiography. Acta Paediatr. Scand., 63: 33-41, 1974.
21.
Feizi, Ö. , Symons, C., Yacoub, M.: Echocardiography of the aortic valve. I. Studies of normal aortic valve, aortic stenosis, aortic regurgitation, and mixed aortic valve disease. Br. Heart J., 36: 341-351, 1974.
22.
Francis, G.S. , Hagan, A.D., Oury , J., et al.: Accuracy of echocardiography for assessing aortic root diameter. Br. Heart J., 37: 376-378, 1975.
23.
Troy, B.L., Pombo, J., Rackley, C.E.: Measurement of left ventricular wall thickness and mass by echocardiography . Circulation, 45: 602-611, 1972.
24.
Hirata, T., Wolfe, S.B., Popp, R.L., et al.: Estimation of left atrial size using ultrasound. Am. Heart J., 78: 43-52, 1969.
25.
Feigenbaum, H., Popp, R.L., Chip , J.N., et al.: Left ventricular wall thickness measured by ultrasound. Arch. Intern. Med. , 121: 391-395, 1968.
26.
Gramiak, R. , Shah, P.M.: Echocardiography of the aortic root. Invest . Radiol., 3: 356-366, 1968.
27.
Saito, Y., Hirota, K., Ito, I., et al.: Clinical and pathological studies of five autopsied cases of aortitis syndrome. Part I. Findings of the aorta and its branches, peripheral arteries and pulmonary arteries. Jap. Heart J., 13: 20-33, 1972.
28.
Shibuya, M., Kubokura, T.: Angiocardiographic findings in aortitis syndrome. Annual Report of the Ministry of Health and Welfare Aortitis Syndrome Committee , Japan, 1974, pp. 64-69 (in Japanese).
29.
Takao, T., Ooiwa, G., Uchiki, K., et al.: Angiographic study in aortitis syndrome. Annual Report of the Ministry of Health and Welfare Aortitis Syndrome Committee , Japan, 1975, pp. 45-51 (in Japanese).
30.
Gramiak, R. , Shah, P.M.: Echocardiography of the normal and diseased aortic valve. Radiology, 96: 1-8, 1970.
31.
Ueda, H., Sugiura, M., Ito, I., et al.: Aortic insufficiency associated with aortitis syndrome. Jap. Heart J., 8: 107-120, 1967.
32.
Moothart, R.W. , Spangler, R.D., Blount , S.G.: Echocardiography in aortic root dissection and dilatation. Am. J. Cardiol. , 36: 11-16, 1975.
33.
Winsberg, F. , Gabor, G.E., Hernberg , J.G., et al.: Fluttering of the mitral valve in aortic insufficiency. Circulation, 41: 225-229, 1970.
Davis, RH, Feigenbaum, H., Chang, S., et al.: Echocardiographic manifestations of discrete subaortic stenosis . Am. J. Cardiol., 33: 277-280, 1974.
36.
Chandraratna, P.A.N., Samet, P., Robinson , M.J., et al.: Echocardiography of the "floppy" aortic valve. Report of a case. Circulation , 52: 959-962, 1975.
37.
Atsuchi, Y. , Nagai, Y., Komatsu , Y., et al.: Echocardiographic manifestations of annuloaortic ectasia: Its "paradoxical" motion of the aorta and premature systolic closure of the aortic valve. Am. Heart J., 93: 428-433, 1977.
38.
Feigenbarum, H.: Echocardiography. Second edition. Philadelphia, Lea & Febiger, 1976, p. 161.
39.
Nishimura, K., Hibi, N., Kato , T., et al.: Real-time observation of ruptured right sinus of Valsalva aneurysm by high speed ultrasono-cardiotomography. Report of a case. Circulation, 53: 732-735, 1976.
