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During the past 14 years, 62 of 109 patients with the aortitis syndrome were operated on for some of the lesions. Ages of the majority of the patients were between 20 and 40 years with prevalence in females.
Eighteen patients with brachiocephalic occlusive lesions underwent reconstructive surgery to relieve their sumptoms comprising visual disturbance (8 cases), syncopal attack (7 cases), dizziness (6 cases) etc. Operative mortality was 16.7%. The most frequent cause of death was acute cerebral hemorrhage and edema. Follow-up study revealed improvement in 71% of the survivors. There was no late death.
Patients with earlier than stage III (Uyama's classification) of occular fundi, and less than 30mmHg retinal artery pressure are best indicated for surgery with promising result.
Nine patients with isolated atypical coarctation were operated upon by aortic bypass. Follow-up showed 89% improvement.
Results of 14 patients with renal artery stenoses combined with atypical coarctation were poor, imposing the most difficult problem.
Twelve patients with isolated renal artery stenoses (renovascular hypertension) were operated on and late results showed 83% cure and improvement in blood pressure.
Ten patients with aneurysms were operated on by resection, with 2 operative death. Late results showed 3 suture aneurysms, 2 of which ruptured.
