Ascending aortic aneurysm associated with lymphoplasmacytic thoracic aortitis mimics acute type A intramural hematoma - case report.

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.

[Replacement of aortic valva and ascending aorta in patient with Takayasu's arteritis]. / Náhrada aortální chlopne a vzestupné aorty u pacienta s Takayasuovou arteritidou.

Takayasu's arteritis (TA) is a rare vascular disorder, which predominantlly affects aorta and its primary branches. TA has a worldwide distribution and it is most frequent in young women. We report the case report of 36-year-old women, who underwent replacement of aortic valve and ascending aorta due to signifiant aortic regurgitation and dilatation of ascending aorta as a consequence of TA.