Kay R H, Pooley R, Herman M V
Arch Intern Med. 1982 Jul;142(7):1378-9.
A 62-year-old patient undergoing aortocoronary bypass grafting had giant cell arteritis diagnosed by routine aortic biopsy done at the graft insertion site. This finding led to the tissue diagnosis of temporal arteritis and the institution of steroid therapy. In retrospect, vague symptoms of headache and fatigue, which had been attributed to side effects of antianginal therapy, were probably caused by giant cell arteritis. The population undergoing aortocoronary bypass grafting is in an age group at risk for giant cell arteritis. Routine aortic biopsy specimens should be carefully examined with this in mind.
一名接受主动脉冠状动脉搭桥术的62岁患者，在移植血管插入部位进行的常规主动脉活检诊断为巨细胞动脉炎。这一发现导致颞动脉炎的组织诊断并开始使用类固醇治疗。回顾过去，曾被归因于抗心绞痛治疗副作用的模糊头痛和疲劳症状，可能是由巨细胞动脉炎引起的。接受主动脉冠状动脉搭桥术的人群属于巨细胞动脉炎的高危年龄组。考虑到这一点，应仔细检查常规主动脉活检标本。
