Isolated Upper-Extremity Symptoms Due to Obstruction of the Aortic Origin of the Left Subclavian or Innominate Artery

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Abstract
MUCH has been written about occlusive disease involving the great vessels of the aortic arch since the first reports on this subject by Savory1 in 1856 and Broadbent2 in 1875. This clinical entity, which has been variously referred to under such names as "aortic-arch syndrome,"3 , 4 "pulseless disease,"5 "Martorell's syndrome"6 and "Takayasu's disease,"7 probably has several etiologies — the inflammatory arteritis of syphilis,3 , 8 atherosclerosis9 10 11 12 and the poorly understood nonspecific inflammatory lesion,3 4 5 , 10 , 13 14 15 the ophthalmologic complications of which were described by Takayasu7 in 1908. It is important not to consider these various types of occlusive disease involving the major branches of the aortic . . .