ABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Aortic Rupture/diagnosis , Aortic Rupture/therapy , Thoracotomy , Extracorporeal Circulation/methods , Paraplegia/complications , Angiography , Aortic Rupture/physiopathology , Aortic Rupture/surgery , Aortic Rupture , Aneurysm, False/complications , Aneurysm, FalseABSTRACT
Giant cell arteritis (GCA) is the most common form of large vessel arteritis. GCA typically involves the branches of the external carotid artery, but is the leading cause of inflammatory aortitis. However, involvement of the aorta often goes undetected. We present a case of an 81-year-old man, with headache and intense chest pain, who was previously given a diagnosis of GCA with a temporal artery biopsy 6 years ago. Owing to the suspicion of acute aortic syndrome, an emergent computed tomography (CT) was performed. CT showed the development of mega-aorta syndrome, with a diameter of 75.2 mm in the ascending aorta, 61.8 mm in the aortic arch, 76.1 mm in the descending thoracic aorta, and 45.1 mm in the abdominal aorta, presenting a chronic type B aortic dissection. Although there are reported cases secondary to Takayasu arteritis, this is the first case reported in the literature of mega-aorta syndrome associated with GCA in a patient previously diagnosed using temporal artery biopsy.
Subject(s)
Aorta, Abdominal/pathology , Aorta, Thoracic/pathology , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Thoracic/diagnosis , Aortic Dissection/diagnosis , Giant Cell Arteritis/diagnosis , Temporal Arteries/pathology , Adrenal Cortex Hormones/therapeutic use , Aged, 80 and over , Aortic Dissection/drug therapy , Aortic Dissection/etiology , Aortic Dissection/pathology , Aorta, Abdominal/diagnostic imaging , Aorta, Thoracic/diagnostic imaging , Aortic Aneurysm, Abdominal/drug therapy , Aortic Aneurysm, Abdominal/etiology , Aortic Aneurysm, Abdominal/pathology , Aortic Aneurysm, Thoracic/drug therapy , Aortic Aneurysm, Thoracic/etiology , Aortic Aneurysm, Thoracic/pathology , Aortography/methods , Biopsy , Chronic Disease , Giant Cell Arteritis/complications , Giant Cell Arteritis/drug therapy , Giant Cell Arteritis/pathology , Humans , Male , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Chest Pain/complications , Chest Pain/diagnosis , Hemoptysis/complications , Aortic Coarctation/surgery , Bronchial Fistula/diagnosis , Bronchial Fistula/therapy , Angiography/methods , Risk Factors , Aortography/methods , Aortography , Chest Pain , Radiography, Thoracic/methods , Radiography, Thoracic/trendsSubject(s)
Aortic Diseases/surgery , Bronchial Fistula/surgery , Vascular Fistula/surgery , Adult , Aorta, Thoracic , Aortic Coarctation/surgery , Aortic Diseases/complications , Aortic Diseases/diagnosis , Bronchial Fistula/complications , Bronchial Fistula/diagnosis , Chest Pain/etiology , Endovascular Procedures , Hemoptysis/etiology , Humans , Male , Postoperative Complications/etiology , Time Factors , Vascular Fistula/complications , Vascular Fistula/diagnosisSubject(s)
Humans , Male , Middle Aged , Atherosclerosis/complications , Atherosclerosis/diagnosis , Chest Pain/diagnosis , Angiography/methods , Ulcer/complications , Ulcer/diagnosis , Atherosclerosis/surgery , Atherosclerosis , Aorta/physiopathology , Aorta , /methods , Hypertension/complications , Ulcer/surgery , UlcerABSTRACT
We present a case of acute endocarditis due to enterococcus faecalis involving partially A2 and completely A3 (Carpentier classification) with destruction of the free margin of the mitral valve. Repair was performed by using glutaraldehyde treated porcine pericardium to replace the defect and neochordae of polytetrafluoroethylene sutured to the free margin of the pericardium to achieve competence. Intraoperative and follow-up echocardiogaphies showed no regurgitation.
Subject(s)
Endocarditis, Bacterial/complications , Mitral Valve Insufficiency/etiology , Mitral Valve Insufficiency/surgery , Pericardium/transplantation , Suture Techniques , Adult , Cardiac Surgical Procedures/methods , Chordae Tendineae/surgery , Echocardiography, Transesophageal , Endocarditis, Bacterial/microbiology , Female , Follow-Up Studies , Gram-Positive Bacterial Infections/complications , Gram-Positive Bacterial Infections/microbiology , Humans , Mitral Valve Insufficiency/diagnostic imaging , Polytetrafluoroethylene , Preoperative Care , Risk Assessment , Transplantation, Autologous , Treatment OutcomeABSTRACT
Intravascular papillary endothelial hyperplasia (Masson's vegetant hemangioendothelioma) is a rare condition affecting the arteries. In the literature, we did not find any reference to this lesion involving the humeral artery. We present a case of asymptomatic humeral artery vascular tumor due to this abnormality. A 58-year-old woman was admitted to our hospital with an asymptomatic pulsatile humeral artery mass. Echography revealed an increase in size in the last year. The tumor was removed, and the vascular segment was replaced by a segment of inverted cephalic vein. The findings of the pathological examination were compatible with intravascular papillary endothelial hyperplasia. At follow-up examination 5 months after the operation, the patient had no tumor, remained asymptomatic, and had preserved upper limb artery patency. This rare vascular lesion may be clinically and histopathologically mistaken for a malignant tumor. As the Masson tumor can be cured by complete surgical resection, it is important to get a correct diagnosis.
