Aortic arch syndrome is defined as an absence or diminution of pulses in the arms and neck by the cause of obstruction or narrowing of the branches of aortic arch; and then it is of multiple etiology, due to different causes: arteritis, atherosclerosis, aortic syphilis with or without aneurysm, aneurysm of the aorta, trauma to the aortic arch and congenital anomalies. However, most cases with this syndrome can be divided into two main groups, i. e., those of non-specific arteritic origin (pulseles disease) and of atheromatous origin.
In this report, we present a 19 year- old female of typical pulseless disease, and a 65 year-old woman with obstruction of the right common carotid and subclavian arteries by atherosclerosis. We make clear the relationship in the concept of these diseases as undertaking the consideration on the literature and show the arterial reconstructive operation with success in the treatment of the aortic arch syndrome.
