Buğra Abdul Kerim, Buğra Aytül, Kadiroğulları Ersin, Onan Burak
Department of Cardiovascular Surgery, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Türkiye.
Department of Histopathology, Council of Forensic Medicine, Istanbul, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Derg. 2022 Apr 27;30(2):267-271. doi: 10.5606/tgkdc.dergisi.2022.22228. eCollection 2022 Apr.
Aortitis is the inflammation of the aortic wall. In our case, in which we planned elective coronary bypass surgery, a firm and dilated ascending aorta with a pearlescent color was encountered intraoperatively. Histopathological examination revealed extensive lymphoplasmacytic infiltration and storiform fibrosis. Aortitis may be a component of a multisystemic or autoimmune disease. The time of diagnosis may coincide with the asymptomatic period of the systemic disease. This case was presented as it was incidentally detected during coronary bypass surgery and was histopathologically diagnosed as immunoglobulin G4-related aortitis, although it could not be diagnosed in clinical and laboratory evaluations.
主动脉炎是主动脉壁的炎症。在我们这个计划进行择期冠状动脉搭桥手术的病例中，术中发现升主动脉坚实且扩张，呈珍珠色。组织病理学检查显示有广泛的淋巴细胞和浆细胞浸润以及席纹状纤维化。主动脉炎可能是多系统疾病或自身免疫性疾病的一个组成部分。诊断时间可能与全身性疾病的无症状期相吻合。该病例是在冠状动脉搭桥手术中偶然发现的，尽管在临床和实验室评估中未能确诊，但经组织病理学诊断为免疫球蛋白G4相关性主动脉炎。
