Nondissecting aneurysm of the thoracic aorta with arteritis in systemic lupus erythematosus

Journal of Vascular Surgery
Hisato TakagiHajime Hirose

Abstract

A nondissecting aneurysm of the distal descending thoracic aorta, 55 mm in diameter, in a 35-year-old woman who was undergoing 24-year steroid therapy of systemic lupus erythematosus was successfully resected and replaced with a tube graft. The suture line of the aortic wall was reinforced with a polytetrafluoroethylene felt strip. Histologically, the media and adventitia contained numerous lymphoplasmacytic infiltrates that consisted of B and activated T cells mixed with plasmacytes. These findings would have been in accordance with active aortitis. Systemic lupus erythematosus was suggested as possibly associated with nondissecting thoracic aortic aneurysm, especially in patients undergoing chronic steroid therapy in which inflammation continued.

References

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Citations

Feb 6, 2010·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·Atsushi KurataKimimasa Nakabayashi
Jul 8, 2008·The Journal of Thoracic and Cardiovascular Surgery·John G T AugoustidesJeffrey Carpenter
Aug 4, 2010·Journal of Cardiac Surgery·Nick ButlerPallav Shah
Aug 31, 2004·American Journal of Otolaryngology·J Clinton SmithEdward C Smith
Jul 15, 2015·Reumatología clinica·José Pérez RuizJordi Carbonell I Abellò
Sep 1, 2006·Lupus·A S SilverE M Ginzler
Nov 29, 2007·Lupus·P S Arul RajamuruganR Ravichandran
Jun 23, 2019·Journal of Medical Case Reports·Daisuke WakiAkio Morinobu
Oct 17, 2018·Zeitschrift für Rheumatologie·Shi-Min Yuan
Dec 24, 2004·La Presse médicale·David Launay, Eric Hachulla

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