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Surgical Treatment of Aortic Aneurysm in Patients with Aortitis

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Inflammatory Response in Cardiovascular Surgery

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Abstract

The most common causes of aortitis are the large-vessel vasculitides [giant cell arteritis (GCA) and Takayasu arteritis], although aortitis also is associated with systemic lupus erythematosus, rheumatoid arthritis, the HLA-B27-associated spondyloarthropathies, anti-neutrophil cytoplasmic antibody-associated vasculitides, Behçet’s disease, Cogan syndrome, and sarcoidosis. Infectious causes include tuberculosis, syphilis, salmonella, and other bacteria. Acute presentation includes aneurysm rupture, Stanford type A dissection with severe aortic regurgitation, stroke, and myocardial infarction [1, 2]. Isolated aortitis (IA) is a newly recognized condition (i.e., no associated rheumatologic or infectious disease is present), but its differentiation from Takayasu arteritis (TA) is still a challenge.

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Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK

    Maqsood M. Elahi MD, PhD

  2. Division of Cardiothoracic Surgery and Center for Aortic Disease, Scott & White Clinic, Texas A & M Health Sciences Center College of Medicine, 2401 S. 31st Street, Temple, TX, 76508, USA

    Kenton J. Zehr MD

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  1. Maqsood M. Elahi MD, PhD
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  2. Kenton J. Zehr MD
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Editors and Affiliations

  1. University Nove de Julho, Melo Alves 685, São Paulo, 01417-010, São Paulo, Brazil

    Edmo Atique Gabriel

  2. Pontifícia Universidade Católica de Camp, Rodovia D. Pedro I, km 136, São Paulo, 13086-900, São Paulo, Brazil

    Sthefano Atique Gabriel

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Elahi, M.M., Zehr, K.J. (2013). Surgical Treatment of Aortic Aneurysm in Patients with Aortitis. In: Gabriel, E., Gabriel, S. (eds) Inflammatory Response in Cardiovascular Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4429-8_44

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  • DOI: https://doi.org/10.1007/978-1-4471-4429-8_44

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  • Online ISBN: 978-1-4471-4429-8

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