Thoraco-abdominal aortic aneurysm secondary to aggressive Giant Cell Arteritis

Annals of Vascular Surgery
Antonio BozzaniFranco Ragni

Abstract

Large artery stenosis of the arm or leg arteries or the cervical arteries have been described in giant cell arteritis (GCA); aortic involvement, nevertheless, is less frequent, even if imaging tools like PET CT have increased the frequency in the observation of aortic involvement. A 56-year-old female with a medical history of GCA presented to our emergency department with an unruptured voluminous thoraco-abdominal aortic aneurysm (TAAA). The fluorodeoxyglucose positron emission tomography demonstrated the presence of high inflammatory activity. The patient underwent endovascular correction using a "sandwich technique". The 3-month control CT scan shows complete aneurysm exclusion. In high risk for surgery patients with GCA the endovascular treatment with parallel stent graft of TAAA is safe and feasible.

Citations

May 21, 2020·Zeitschrift für Rheumatologie·E Wipfler-FreißmuthM Both
Jan 28, 2021·Annals of Vascular Surgery·Monica RotaAntonio Bozzani
Feb 8, 2021·Annals of Vascular Surgery·Antonio BozzaniFranco Ragni

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