“Pulmonary Pulseless Disease:” Pulmonary Involvement in So-Called Takayasu's Disease: Clinical Conference in Cardiology from the Third Medical Division, Kyoto University Hospital, Kyoto, Japan

Abstract

Dr. Chuichi Kawai: Forty-three years after the first description of Takayasu's 1 Takayasu M A case with peculiar changes of the central retinal vessels. Acta Soc Ophthalmol Jpn. 1908; 12 (in Japanese): 554 Google Scholar disease in 1908, Shimizu and Sano 2 Shimizu K Sano K Pulseless disease. J Neuropathol Clin Neurol. 1951; 1: 37 PubMed Google Scholar in 1951 described pulseless disease which represented a syndrome due to occlusion of the principal arteries arising from the aortic arch. The disease occurs predominantly in young women; some cases show characteristic ocular findings in classic Takayasu's disease. Pulseless disease was thought to be a nosologic entity among the various diseases with aortic arch syndromes. 3 Ross RS McKusick VA Aortic arch syndromes: Diminished or absent pulses in arteries arising from arch of aorta. Arch Intern Med. 1953; 92: 701 Crossref Scopus (74) Google Scholar At that time, physicians’ attention to the affected arteries in pulseless disease was directed mainly to the main branches arising from the aortic arch, although involvement of the abdominal aorta was reported in a case at autopsy. 4 Oota K Ein seltener Fald von beiderseitigem Carotis-Subclaviaverschluss: Ein Beitrag zur Pathologie der Anastomosis peripapillaris des Auges mit fehlendem Radialpuls. Trans Soc Pathol Jpn. 1940; 30: 680 Google Scholar Later, in many cases which might be placed under the category of this disease, the main lesions were found in the descending aorta and its main branches. 5 Danaraj TJ Ong WH Primary arteritis of abdominal aorta in children causing bilateral stenosis of renal arteries and hypertension. Circulation. 1959; 20: 856 Crossref PubMed Scopus (45) Google Scholar , 6 Inada K Shimizu H Yokoyama T Pulseless disease and typical coarctation of the aorta with special reference to their genesis. Surgery. 1962; 52: 433 Google Scholar , 7 Maekawa M Hayase S Nohara Y et al. Obstructive aortitis with hypertension: Takayasu's disease without the eye symptoms (abstract). Jpn Circ J. 1963; 27: 730 Crossref Google Scholar As it has been revealed that the arterial lesions were far more widespread and varied than originally expected, the disease has been known by various names. The following terms may be identical with what is known today as Takayasu's disease: Takayasu's arteritis, 8 Judge RD Currier RD Grade WA et al. Takayasu's arteritis and the aortic arch syndrome. Am J Med. 1962; 32: 379 Abstract Full Text PDF PubMed Scopus (112) Google Scholar aortitis syndrome, 9 Ueda H Ito I Okada R et al. Aortic arch syndrome with special reference to pulseless disease and its variants. Jpn Heart J. 1963; 4: 224 Crossref PubMed Scopus (18) Google Scholar Takayasu's arteriopathy, 10 Strachan RW The natural history of Takayasu's arteriopathy. Q J Med. 1964; 33: 57 PubMed Google Scholar and occlusive thromboaortopathy. 11 Ishikawa K, Seriu Y, Tamura T, et al: Occlusive thromboaortopathy: Takayasu’s disease and allied diseases. In ProceedingsProceedings of the Third Asian-Pacific Congress of Cardiology (vol 1). Kyoto, Kawakita Printing Co., 1964, p 432 Google Scholar , 12 Maekawa M Ishikawa K Occlusive thromboaortopathy. Jpn Circ J. 1966; 30: 79 Crossref Scopus (17) Google Scholar