Raaf J H, Shannon J
Surg Gynecol Obstet. 1980 May;150(5):715-20.
In the ten year interval from 1967 to 1976, in a group of 200 patients with aortoiliac occlusive disease, six were identified who presented a unique combination of physical findings, angiographic abnormalities and pathologic changes. Atherosclerotic coarctation describes this entity because of the discreteness of the lesion found, the extent to which the aorta is occluded and the presence of extensive collaterals. Pathologically, the lesion is an organized thrombus forming on a single ulcerated plaque in an aorta with a lumen that is otherwise well preserved. Distally, infantile vessels are found. Other features have been the absence of diabetes mellitus and the fact that all of these patients have been women. All but one patient smoked cigarettes. Local endarterectomy restored pedal pulses and provided lasting relief of symptoms in all of the patients.
在1967年至1976年的十年间，在一组200例主髂动脉闭塞性疾病患者中，发现有6例患者呈现出独特的体格检查结果、血管造影异常和病理变化组合。由于所发现病变的局限性、主动脉闭塞的程度以及广泛侧支循环的存在，动脉粥样硬化性缩窄描述了这一实体。病理上，病变是在主动脉单个溃疡斑块上形成的有组织血栓，主动脉管腔在其他方面保存良好。在远端，发现有婴儿型血管。其他特征包括无糖尿病，且所有这些患者均为女性。除1例患者外，所有患者均吸烟。局部动脉内膜切除术恢复了足部脉搏，并使所有患者的症状得到持久缓解。
