Aortic Dissection Caused by Giant Cell Arteritis

Authors

  • Thomas Strecker
  • Stephan Zimmermann
  • David-Lukas Wachter
  • Abbas Agaimy

DOI:

https://doi.org/10.1532/HSF98.20101114

Abstract

Aortic dissection is a very serious condition mainly caused by degenerative diseases of the connective tissue and hypertension. Ascending aortic dissection as a consequence of aortitis in association with giant cell arteritis is very rarely seen. In this article we report on the successful surgical repair of a Stanford type A aortic dissection caused by giant cell arteritis in a 74-year-old patient. We could visualize this dissection via echocardiography and computed tomography. Histopathology confirmed this rare complication of giant cell aortitis.

References

Bedeleanu D, Coman C, Encica S, Hagiu R, Molnar A, Cãpâlneanu R. 2000. Stanford type A aortic dissection in a hypertensive patient with atherosclerosis of aorta and aortitis. Echocardiography 17:181-5.nLiu G, Shupak R, Chiu BK. 1995. Aortic dissection in giant-cell arteritis. Semin Arthritis Rheum 25:160-71.nMarie I, Proux A, Duhaut P, et al. 2009. Long-term follow-up of aortic involvement in giant cell arteritis: a series of 48 patients. Medicine (Baltimore) 88:182-92.nOberwalder PJ, Tilz G, Rigler B. 2003. Spontaneous acute type A aortic dissection as a result of autoimmune aortitis without previous aortic dilatation in a 43-year-old man. J Thorac Cardiovasc Surg 125:413.nRyder HF, Tafe LJ, Burns CM. 2009. Fatal aortic dissection due to a fulminant variety of isolated aortitis. J Clin Rheumatol 15:295-9.n

Published

2011-04-26

How to Cite

Strecker, T., Zimmermann, S., Wachter, D.-L., & Agaimy, A. (2011). Aortic Dissection Caused by Giant Cell Arteritis. The Heart Surgery Forum, 14(2), E137-E138. https://doi.org/10.1532/HSF98.20101114

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