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An ascending aortic aneurysm caused by giant cell arteritis: Report of a case

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Abstract

A 69-year-old woman was referred to our hospital for investigation of an abnormality detected by a chest roentgenogram, and was subsequently found to have an ascending aortic aneurysm. She had not suffered any symptoms such as headache or polymyalgia rheumatica. Aneurysmectomy and reconstruction of the ascending aorta was performed using cardiopulmonary bypass, and pathological examination of the aneurysmal wall revealed giant cell arteritis (GCA). Preoperatively, she had not suffered any temporal pain, and no signs of inflammation were detected serologically. GCA is a rare cause of aortic aneurysm in the Japanese population, and a brief review of the literature on this unusual entity is presented following this case report.

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References

  1. Hutchinson J (1890) Diseases of the arteries. On a peculiar form of thrombotic arteritis of the aged which is sometimes productive of gangrene. Arch Surg (Lond) 1:323–329

    Google Scholar 

  2. Horton BT, Magath TB, Brown GE (1932) An undescribed form of arteritis of the temporal vessels. Mayo Clin Proc 7:700–701

    Google Scholar 

  3. Jennings GH (1938) Arteritis of temporal arteries. Lancet 1:323–329

    Google Scholar 

  4. Hamilton CR Jr, Shelly WM, Tumulty PA (1971) Giant cell arteritis: including temporal arteritis and polymyalgia rheumatica. Medicine (Baltimore) 50:1–27

    Article  Google Scholar 

  5. Klein RG, Hunder GG, Stanson AW, Sheps SG (1975) Large vessel involvement in giant cell (temporal) arteritis. Ann Intern Med 83:806–812

    CAS  PubMed  Google Scholar 

  6. Evans JM, Bowles CA, Bjornsson J, Mullany CJ, Hunder GG (1994) Thoracic aortic aneurysm and rupture in giant cell arteritis. Arthritis Rheum 37:1539–1547

    Article  CAS  PubMed  Google Scholar 

  7. Lie JT (1995) Aortic and extracranial large vessel giant cell arteritis: a review of 72 cases with histopathologic documentation. Semin Arthritis Rheum 24:422–431

    Article  CAS  PubMed  Google Scholar 

  8. Esato K, Oda E, Yasutake T, Furukawa S, Murata T, Yamaki R, Watanabe S (1979) A case of aneurysms of giant-cell aortic origin (in Japanese with English abstract). Kyobu Geka (Jpn J Thorac Surg) 32:50–56

    CAS  PubMed  Google Scholar 

  9. Murai T, Saito K, Kuroda N, Kurihara K, Murai N, Imai M Inui M, Hosoda Y (1989) Acute aortic dissection due to giant cell arteritis. Report of two autopsy cases. Acta Pathol Jpn 39:821–826

    CAS  PubMed  Google Scholar 

  10. Evans J, Hunder GG (1997) The implications of recognizing large-vessel involvement in elderly patients with giant cell arteritis. Curr Opin Rheumatol 9:37–40

    Article  PubMed  Google Scholar 

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Hamano, K., Gohra, H., Katoh, T. et al. An ascending aortic aneurysm caused by giant cell arteritis: Report of a case. Surg Today 29, 957–959 (1999). https://doi.org/10.1007/BF02482796

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  • DOI: https://doi.org/10.1007/BF02482796

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