Massive progression of annuloaortic ectasia in a patient with Takayasu aortitis

Inoue, Takehiro; Matsumoto, Teruhumi; Sakurai, Toshihiko

doi:10.1016/s0828-282x(07)70863-2

Cited by 4 publications

(13 citation statements)

References 5 publications

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“…In 20 patients, the degree of aortic valve regurgitation was unspecified. In the remaining 24 patients: it was severe in 12 (50%) [7,17,19,27,30,31,33,35,37] , moderate or severe in eight (33.3%) [16] , moderate in two (8.3%) [21,29] , mild in one (4.2%) [15] , and trace in one (4.2%) patient [18] .…”

Section: Resultsmentioning

confidence: 99%

“…The morphology of aortic valve leaflets was mentioned in six (13.3%) patients: three were normal [27] and three were abnormal (very thin [19] in one, thinned out with lax cusps [29] in one, and overstretch aortic valve leaflets in one patient [37] ).…”

Section: Resultsmentioning

confidence: 99%

“…The timing of occurrence of AAE was reported in only two (4.4%) patients, at two and five years after the diagnosis of GCA was made [27] . The dimensions of aortic annulus were described in 22 (38.6%) patients, measuring 31.5±12.2 (range, 23-60; median, 26) mm (n=15) [7,14-19,34,37] .…”

Section: Resultsmentioning

confidence: 99%

“…The morphology of the coronary artery was described in 13 (22.8%) patients: it was normal in seven (53.8%) [7,26,27,29,37] and stenotic/occluded/ectatic in six (46.2%) patients [18,19,21,25,32] . Of the seven patients with normal coronary artery system, three had TA [7,26,37] and four had GCA [27,29] , and all six patients with diseased coronary artery system had TA [18,19,21,25,32] .…”

Section: Resultsmentioning

confidence: 99%

“…The erythrocyte sedimentation rate was 40.5±31.8 (range, 12-70; median, 40) mm/hour (n=4) [17,18,21,27] , and the C-reactive protein was reported in 10 patients: it was normal in three [15,18,22] and elevated in seven patients [7,13,17,19,25,27,33] . Among aortitis patients in active, active-to-inactive remission, and inactive phases, immunoglobulin G (IgG) and component 4 (C4) showed no significant intergroup difference.…”

Section: Resultsmentioning

confidence: 99%

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Annuloaortic Ectasia and Arteritis: Clinical Features, Treatments of Choice, and Causative Relations

Yuan

Lin

2019

Braz J Cardiovasc Surg

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The roles that aortitis plays in the development of annuloaortic ectasia (AAE) remain uncertain, while clinical features of AAE in arteritis are largely unknown. This study was designed to highlight the clinical features of AAE, the treatments of choice, and the causative relations between aortitis and AAE. The morphology of the aortic valve leaflets was normal in half of the patients, while the valves were thin and overstretched in the other half. Most patients had an aortic aneurysm. Half of the patients had severe aortic valve insufficiency, and one-quarter of them had dilation of the sinuses of Valsalva. Takayasu arteritis was prone to develop coronary artery lesions, whereas giant cell arteritis were not. Aortic branch lesions in Takayasu arteritis were stenotic or occlusive in 92.9% of the patients, while in giant cell arteritis, they were all dilated lesions. Most patients (94.7%) required surgical treatment with steroid therapy. However, long-term follow-up results showed a higher anastomotic dehiscence rate, particularly in patients with Takayasu arteritis. Further morphometric and pathological research on AAE in arteritis should be undertaken, and more feasible measures should be warranted for preventing postoperative anastomotic dehiscence.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Annuloaortic Ectasia and Arteritis: Clinical Features, Treatments of Choice, and Causative Relations

Yuan

Lin

2019

Braz J Cardiovasc Surg

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Aortoarteritis and Severe Aortic Insuffi Ciency in a Patient After Covid-19

Oryshchyn

Ivaniv²

2022

PSSS MS

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Aortoarteritis is a rare cause of the aortic insuffi ciency, but it should be considered among the other causes of aortic regurgitation. A number of cases of autoimmune aortoarteritis have been reported during the COVID-19 pandemic. We present a case report of aortoarteritis with severe aortic insuffi ciency, which developed in a patient after a mild form of coronavirus infection and an episode of arthritis. Echocardiography revealed severe aortic regurgitation, dilatation of the thoracic aorta and thickening of the aortic walls. Ultrasonography showed thickening of the carotid arterial walls. Computed tomography confi rmed the diagnosis of aortoarteritis. Elevated C-reactive protein indicated an acute infl ammatory process. Aortoarteritis was treated with methylprednisolone with good clinical response. Possible causes of aortoarteritis are discussed: Takayasu arteritis, giant cell arteritis, ankylosing spondylitis and polychondritis. After exclusion of all possible causes, aortoarteritis in the patient was diagnosed as an autoimmune process caused by coronavirus infection. Cases of arteritis in patients related to COVID-19 are discussed. Multimodality diagnostics (echocardiography, contrast-enhanced computed tomography, ultrasonography of aortic branches) play a central role in detecting aortic lesions and evaluating the extent of the pathological process in aortitis. A laboratory workup is needed to identify the cause of the aortitis. The fi nal diagnosis should be made on the analysis of clinical manifestations, diagnostic and laboratory fi ndings.

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Association of Aortic and Main Left Coronary Aneurysms with Severe Aortic Insufficiency in Takayasu’s Arteritis

Schafranski¹,

Freitas²,

Carvalho³

2011

Clinics and Practice

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Takayasu’s arteritis is a granulomatous vasculitis of unknown etiology that affects mainly the aorta and its branches. As a result of intimal fibroproliferation, segmental stenosis, occlusion, dilatation, and aneurysmal formation of the involved vessels may develop. It is an uncommon disease and usually affects young Asian female patients during the second and third decades of life. Coronary arteries are exceptionally affected and coronary aneurysm formation is a very rare finding. We describe a case of a previously healthy 26-year-old Caucasian female whose Takayasu’s arteritis presented as a previously undescribed association of aortic and main left coronary aneurysms with severe aortic insufficiency.

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Massive progression of annuloaortic ectasia in a patient with Takayasu aortitis

Cited by 4 publications

References 5 publications

Annuloaortic Ectasia and Arteritis: Clinical Features, Treatments of Choice, and Causative Relations

Annuloaortic Ectasia and Arteritis: Clinical Features, Treatments of Choice, and Causative Relations

Aortoarteritis and Severe Aortic Insuffi Ciency in a Patient After Covid-19

Association of Aortic and Main Left Coronary Aneurysms with Severe Aortic Insufficiency in Takayasu’s Arteritis

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