巨细胞性主动脉炎：一例罕见的Bentall手术病例。

Giant-cell aortitis: an unusual case of Bentall operation.

作者信息

Lemaire Anaïs, Cuttone Fabio, Caprio Sabino, Massetti Massimo, Galateau-Salle Françoise

机构信息

Department of Cardiac Surgery, University of Caen Basse-Normandie and University Hospital of Caen, France.

出版信息

Asian Cardiovasc Thorac Ann. 2014 Mar;22(3):342-4. doi: 10.1177/0218492312470669. Epub 2013 Jul 16.

DOI:10.1177/0218492312470669

PMID:24585914

Abstract

Noninfectious ascending aortitis is a very rare cause of ascending aortic aneurysm. We report a case of the truly fortuitous finding of this rare condition in a 67-year-old man operated on for an ascending aortic aneurysm associated with dystrophic aortic valve regurgitation. Intraoperative inspection revealed dissection of the aorta just above the left main coronary artery. A modified Bentall operation was performed. The pathological diagnosis was giant cell arteritis.

摘要

非感染性升主动脉炎是升主动脉瘤非常罕见的病因。我们报告了一例在一位67岁男性患者中偶然发现这种罕见疾病的病例，该患者因升主动脉瘤合并退行性主动脉瓣反流接受手术。术中检查发现左主冠状动脉上方的主动脉夹层。实施了改良Bentall手术。病理诊断为巨细胞动脉炎。