The Aortic Arch Syndrome (Pulseless Disease)
A Report of Ten Cases With Three Autopsies
Ten patients are presented in whom absent arterial pulsations were noted in 1 or both arms. Six patients also had absent carotid arterial pulsations on 1 or both sides.
The blood pressure was determined satisfactorily by a machine devised to record the Korotkov vibrations. This indicates feeble arterial pulsation in spite of inability to palpate them clinically.
Three autopsied cases showed severe atherosclerosis with superimposed thrombosis.
Long-term anticoagulation used in 2 patients for as long as 3 years seemed to result in some clinical improvement.
- © 1959 American Heart Association, Inc.