Ascending aortic aneurysm associated with lymphoplasmacytic thoracic aortitis mimics acute type A intramural hematoma – case report
Authors:
R. Zacharovský 1; V. Svitek 1,2; M. Škamlová 3
Authors‘ workplace:
II. klinika kardiochirurgie, Slovenská zdravotnícka univerzita v Bratislave, Stredoslovenský ústav srdcových, a cievnych chorôb, a. s., Banská Bystrica, Slovenská republika
1; Klinika hrudníkovej chirurgie, Jesseniova lekárska fakulta v Martine Univerzity Komenského v Bratislave, Martin, Slovenská republika
2; II. interná klinika, Slovenská zdravotnícka univerzita v Bratislave, Fakultná nemocnica s poliklinikou F. D. Roosevelta, Banská Bystrica, Slovenská republika
3
Published in:
Rozhl. Chir., 2022, roč. 101, č. 4, s. 184-188.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2022.101.4.184–188
Overview
Introduction: Lymphoplasmacytic thoracic aortitis is still underrecognized cause of thoracic aortic aneurysm.
Case report: We herein report a case of symptomatic inflammatory ascending aortic aneurysm and pericarditis diagnosed on CT scan as acute type A intramural hematoma. Patient underwent emergency supracoronary ascending aorta replacement with a prosthetic graft. Marked inflammatory thickening of aneurysm wall was the intraoperative finding. Histopathologic examination of the excised aortic tissue showed inflammation with lymphoplasmacytic pattern of aortitis.
Conclusion: This case demonstrates that lymphoplasmacytic aortitis may mimic symptoms and radiological findings of intramural hematoma.
Keywords:
lymphoplasmacytic thoracic aortitis – IgG4 related diseases – inflammatory aortic aneurysm – acute aortic intramural hematoma
Sources
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