A Case of Isolated Thoracic Aortic Aneurysm as a Manifestation of Undiscovered Giant Cell Arteritis
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- Kishi Takuya
- Department of Cardiovascular Medicine, Kyuhsu University Graduate School of Medical Science
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- Uchida Takayuki
- Department of Cardiovascular Surgery, Aso-Iizuka Hospital
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- Yasutsune Tohru
- Department of Cardiovascular Surgery, Aso-Iizuka Hospital
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- Iwai Toshiro
- Department of Cardiovascular Surgery, Aso-Iizuka Hospital
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- Izumo Akihiko
- Department of Cardiovascular Surgery, Aso-Iizuka Hospital
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- Ohishi Yoshihiro
- Department of Pathology, ASo-Iizuka Hospital
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- Ohya Masahumi
- Department of Pathology, ASo-Iizuka Hospital
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- Yamada Akira
- Department of Cardiovascular Medicine, Aso-Iizuka Hospital
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- Ando Hiromi
- Department of Cardiovascular Surgery, Aso-Iizuka Hospital
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- Okamatsu Shuichi
- Department of Cardiovascular Medicine, Aso-Iizuka Hospital
Bibliographic Information
- Other Title
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- 手術により巨細胞性動脈炎の関与が明らかとなった胸部大動脈瘤症例
- Case report: A case of isolated thoracic aortic aneurysm as a manifestation of undiscovered giant cell arteritis
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Abstract
73-year-old woman was referred to our hospital to investigate dilatation of an aortic arch which had been detected by a chest roentgenogram and severe aortic valve regurgitation detected by echocardiography. On admission, a computed tomography scan of the chest showed a large fusiform ascending aortic aneurysm. She had not shown any symptoms such as headache or polymyalgia rheumatica and had no significant coronary atherosclerosis. She underwent aneurysmectomy and reconstruction of the ascending aorta using cardiopulmonary bypass without aortic valve replacement, and pathological examination of the aneurismal wall revealed giant cell arteritis (GCA). Preoperatively, she did not have any temporal pain, and no signs of inflammation were detected serologically. Postoperatively, aortic valve regurgitation improved and she did well. However, three months after the surgery, she died suddenly due to the rupture or dissection of aorta. In the Japanese population, GCA is reportedly a rare cause of aortic aneurysm. However, retrospective studies show that GCA affects the aorta and that thoracic aortic aneurysm is a possible complication of GCA. In cases of the thoracic aortic aneurysms with unknown etiology, there is a possibility that GCA is the cause of the aortic aneurysm.
Journal
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- 福岡醫學雜誌
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福岡醫學雜誌 97 (12), 358-365, 2006-12-25
Fukuoka Medical Association
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Details 詳細情報について
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- CRID
- 1390009224763595008
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- NII Article ID
- 120002649757
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- NII Book ID
- AN00215478
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- DOI
- 10.15017/18652
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- HANDLE
- 2324/18652
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- NDL BIB ID
- 8716807
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- ISSN
- 0016254X
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- PubMed
- 17310805
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- Text Lang
- en
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- Data Source
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- JaLC
- IRDB
- NDL
- PubMed
- CiNii Articles
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- Abstract License Flag
- Allowed