[Aortitis and surgery]. / Prise en charge chirurgicale des maladies inflammatoires de l'aorte.
Rev Med Interne
; 37(4): 284-91, 2016 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-26797187
ABSTRACT
Non-infectious aortitis are usually due to giant cell arteritis (temporal arteritis), Takayasu and Behçet's diseases. Aortitis should be suspected in the presence of aortic wall thickening or of aneurysm or occlusion of the aorta and its branches in the absence of characteristic cardiovascular risk factors. Surgery is required in case of severe damage. But the quiescence of the inflammatory disease must be obtained before endovascular or surgical treatment to prevent complications such as anastomotic false aneurysm or stent thrombosis, especially common in this disease. The frequency of aortic aneurysms (in particular of ascending aorta) in giant cell arteritis encourages its systematic screening, as well as regular monitoring of the entire aorta during the follow-up. Behçet's and Takayasu diseases require the greatest control of inflammation and the knowledge of some surgical tricks to avoid the risk of recurrence. The literature review shows that endovascular treatment could reduce perioperative morbidity but did not allow reducing long-term complications.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Aortite
/
Procedimentos Cirúrgicos Cardiovasculares
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Fr
Ano de publicação:
2016
Tipo de documento:
Article