Surgical procedure in immunoglobulin G4-related ascending aortitis?
Ann Thorac Surg
; 97(4): e111-3, 2014 Apr.
Article
en En
| MEDLINE
| ID: mdl-24694451
ABSTRACT
Immunoglobulin G4 (IgG4)-related fibroinflammatory systemic disease accounts for 7% of all noninfectious aneurysms of the thoracic aorta. A patient was admitted with a symptomatic ascending aortic aneurysm and thickened aortic wall (outer/inner diameter 55/45 mm), which was replaced. Probes revealed IgG4-related aortitis associated with a primary tuberculosis infection. Corticosteroid and antituberculosis therapies were used, and the patient's clinical evolution was favorable. The optimal treatment strategy of IgG4-related aortitis, a new entity, remains vague. Inner aortic diameter alone does not justify aortic replacement, but wall thickening may mimic intramural hematoma. In this particular case of IgG4-related aortitis, immunosuppressive treatment alone, as an alternative to a surgical procedure, may be debatable.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Aorta
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Aortitis
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Inmunoglobulina G
Límite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
Ann Thorac Surg
Año:
2014
Tipo del documento:
Article