Surgical procedure in immunoglobulin G4-related ascending aortitis?

Details

Serval ID
serval:BIB_397E18EBA2D4
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Surgical procedure in immunoglobulin G4-related ascending aortitis?
Journal
Annals of Thoracic Surgery
Author(s)
Colombier S., Ruchat P., Gronchi F., Prêtre R., Niclauss L.
ISSN
1552-6259 (Electronic)
ISSN-L
0003-4975
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
97
Number
4
Pages
e111-e113
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish Document Type: Editorial Material PDF : Case report
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.
Pubmed
Web of science
Create date
16/05/2014 16:57
Last modification date
20/08/2019 13:29
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