Meryem Echchikhi, Hatim Essaber, Sergio Ekekang Candido, Khadija Ben El Hosni, Ittimade Nassar, Nabil Moatassim Billah
Central Radiology Department, CHU Ibn Sina, Rabat, Morocco.
Traumatology Department, Military Hospital Mohamed V, Rabat, Morocco.
Radiol Case Rep. 2020 Sep 4;15(11):2188-2191. doi: 10.1016/j.radcr.2020.08.018. eCollection 2020 Nov.
Takayasu's arteritis exposes to complications of varying severity, such as arterial stenosis, thrombosis, and more rarely aneurysms. Aortic dissection is a rare complication of Takayasu's disease, reported in few times in the literature, only 7 of which concern the abdominal aorta. We report the case of a 41-year-old woman followed for Takayasu disease for 15 years, who presented an asymptomatic and chronic dissection of the abdominal subrenal aorta. The patient underwent conservative medical treatment. After a follow-up of 17 months, the aortic dissection was still asymptomatic, with a stable appearance on follow-up imaging. To our knowledge, this is the first case report of asymptomatic aortic dissection as a rare complication of Takayasu disease.
高安动脉炎会引发不同严重程度的并发症，如动脉狭窄、血栓形成，动脉瘤则较为少见。主动脉夹层是高安病的一种罕见并发症，文献报道较少，其中仅有7例涉及腹主动脉。我们报告了一例41岁女性患者，患高安病15年，出现了腹主动脉肾下段无症状慢性夹层。该患者接受了保守药物治疗。经过17个月的随访，主动脉夹层仍无症状，随访影像显示外观稳定。据我们所知，这是首例关于高安病罕见并发症无症状主动脉夹层的病例报告。
