Aortitis: Inflammation of the wall of the AORTA.Syphilis, Cardiovascular: Cardiovascular manifestations of SYPHILIS, an infection of TREPONEMA PALLIDUM. In the late stage of syphilis, sometimes 20-30 years after the initial infection, damages are often seen in the blood vessels including the AORTA and the AORTIC VALVE. Clinical signs include syphilitic aortitis, aortic insufficiency, or aortic ANEURYSM.Takayasu Arteritis: A chronic inflammatory process that affects the AORTA and its primary branches, such as the brachiocephalic artery (BRACHIOCEPHALIC TRUNK) and CAROTID ARTERIES. It results in progressive arterial stenosis, occlusion, and aneurysm formation. The pulse in the arm is hard to detect. Patients with aortitis syndrome often exhibit retinopathy.Clostridium septicum: A species of gram-positive bacteria in the family Clostridiaceae. Infections have a strong association with malignancies and also with GAS GANGRENE.Aortic Arch Syndromes: Conditions resulting from abnormalities in the arteries branching from the ASCENDING AORTA, the curved portion of the aorta. These syndromes are results of occlusion or abnormal blood flow to the head-neck or arm region leading to neurological defects and weakness in an arm. These syndromes are associated with vascular malformations; ATHEROSCLEROSIS; TRAUMA; and blood clots.Aneurysm, Infected: Aneurysm due to growth of microorganisms in the arterial wall, or infection arising within preexisting arteriosclerotic aneurysms.Aortic Valve Insufficiency: Pathological condition characterized by the backflow of blood from the ASCENDING AORTA back into the LEFT VENTRICLE, leading to regurgitation. It is caused by diseases of the AORTIC VALVE or its surrounding tissue (aortic root).Acupuncture: The occupational discipline of the traditional Chinese methods of ACUPUNCTURE THERAPY for treating disease by inserting needles along specific pathways or meridians.Tuberculosis, Cardiovascular: Pathological conditions of the CARDIOVASCULAR SYSTEM caused by infection of MYCOBACTERIUM TUBERCULOSIS. Tuberculosis involvement may include the HEART; the BLOOD VESSELS; or the PERICARDIUM.Aortography: Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.Pleural Effusion: Presence of fluid in the pleural cavity resulting from excessive transudation or exudation from the pleural surfaces. It is a sign of disease and not a diagnosis in itself.Aorta, Abdominal: The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.Mesocolon: The fold of peritoneum by which the COLON is attached to the posterior ABDOMINAL WALL.C-Reactive Protein: A plasma protein that circulates in increased amounts during inflammation and after tissue damage.Chylothorax: The presence of chyle in the thoracic cavity. (Dorland, 27th ed)Diabetes Mellitus, Type 2: A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY.Aortic Aneurysm, Thoracic: An abnormal balloon- or sac-like dilatation in the wall of the THORACIC AORTA. This proximal descending portion of aorta gives rise to the visceral and the parietal branches above the aortic hiatus at the diaphragm.Aortic Aneurysm, Abdominal: An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.Blood Vessel Prosthesis Implantation: Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.Intracranial Aneurysm: Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)Coronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Mammary Arteries: Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.Thoracic Arteries: Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles, mammary gland and the axillary aspect of the chest wall.Aortic Valve: The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.Prosthesis-Related Infections: Infections resulting from the implantation of prosthetic devices. The infections may be acquired from intraoperative contamination (early) or hematogenously acquired from other sites (late).Cardiovascular Surgical Procedures: Surgery performed on the heart or blood vessels.Bacterial Translocation: The passage of viable bacteria from the GASTROINTESTINAL TRACT to extra-intestinal sites, such as the mesenteric lymph node complex, liver, spleen, kidney, and blood. Factors that promote bacterial translocation include overgrowth with gram-negative enteric bacilli, impaired host immune defenses, and injury to the INTESTINAL MUCOSA resulting in increased intestinal permeability. Bacterial translocation from the lung to the circulation is also possible and sometimes accompanies MECHANICAL VENTILATION.Giant Cell Arteritis: A systemic autoimmune disorder that typically affects medium and large ARTERIES, usually leading to occlusive granulomatous vasculitis with transmural infiltrate containing multinucleated GIANT CELLS. The TEMPORAL ARTERY is commonly involved. This disorder appears primarily in people over the age of 50. Symptoms include FEVER; FATIGUE; HEADACHE; visual impairment; pain in the jaw and tongue; and aggravation of pain by cold temperatures. (From Adams et al., Principles of Neurology, 6th ed)Polymyalgia Rheumatica: A syndrome in the elderly characterized by proximal joint and muscle pain, high erythrocyte sedimentation rate, and a self-limiting course. Pain is usually accompanied by evidence of an inflammatory reaction. Women are affected twice as commonly as men and Caucasians more frequently than other groups. The condition is frequently associated with GIANT CELL ARTERITIS and some theories pose the possibility that the two diseases arise from a single etiology or even that they are the same entity.Temporal Arteries: Arteries arising from the external carotid or the maxillary artery and distributing to the temporal region.Arteritis: INFLAMMATION of any ARTERIES.Blood Sedimentation: Measurement of rate of settling of erythrocytes in anticoagulated blood.Kinesis: Locomotor behavior not involving a steering reaction, but in which there may be a turning random in direction. It includes orthokinesis, the rate of movement and klinokinesis, the amount of turning, which are related to the intensity of stimulation.PhilippinesCurcuma: A plant genus of the family ZINGIBERACEAE that contains CURCUMIN and curcuminoids.Dura Mater: The outermost of the three MENINGES, a fibrous membrane of connective tissue that covers the brain and the spinal cord.Chloroquine: The prototypical antimalarial agent with a mechanism that is not well understood. It has also been used to treat rheumatoid arthritis, systemic lupus erythematosus, and in the systemic therapy of amebic liver abscesses.Acromion: The lateral extension of the spine of the SCAPULA and the highest point of the SHOULDER.Purines: A series of heterocyclic compounds that are variously substituted in nature and are known also as purine bases. They include ADENINE and GUANINE, constituents of nucleic acids, as well as many alkaloids such as CAFFEINE and THEOPHYLLINE. Uric acid is the metabolic end product of purine metabolism.Acromioclavicular Joint: The gliding joint formed by the outer extremity of the CLAVICLE and the inner margin of the acromion process of the SCAPULA.Humeral Head: The portion of the upper rounded extremity fitting into the glenoid cavity of the SCAPULA. (from Stedman, 27th ed)Ligaments, Articular: Fibrous cords of CONNECTIVE TISSUE that attach bones to each other and hold together the many types of joints in the body. Articular ligaments are strong, elastic, and allow movement in only specific directions, depending on the individual joint.Rhodium: Rhodium. A hard and rare metal of the platinum group, atomic number 45, atomic weight 102.905, symbol Rh. (Dorland, 28th ed)Subclavian Artery: Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.Subclavian Steal Syndrome: A clinically significant reduction in blood supply to the BRAIN STEM and CEREBELLUM (i.e., VERTEBROBASILAR INSUFFICIENCY) resulting from reversal of blood flow through the VERTEBRAL ARTERY from occlusion or stenosis of the proximal subclavian or brachiocephalic artery. Common symptoms include VERTIGO; SYNCOPE; and INTERMITTENT CLAUDICATION of the involved upper extremity. Subclavian steal may also occur in asymptomatic individuals. (From J Cardiovasc Surg 1994;35(1):11-4; Acta Neurol Scand 1994;90(3):174-8)Anatomy: A branch of biology dealing with the structure of organisms.SculptureAorta: The main trunk of the systemic arteries.Dissection: The separation and isolation of tissues for surgical purposes, or for the analysis or study of their structures.Aorta, Thoracic: The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA.Physiology: The biological science concerned with the life-supporting properties, functions, and processes of living organisms or their parts.Models, Anatomic: Three-dimensional representation to show anatomic structures. Models may be used in place of intact animals or organisms for teaching, practice, and study.

Cryptococcal aortitis presenting as a ruptured mycotic abdominal aortic aneurysm. (1/136)

Mycotic processes occasionally complicate atherosclerotic aortic disease and usually require aggressive surgical therapy to control sepsis and prevent arterial rupture. Rarely, fungal organisms are responsible for primary infection of the abdominal aorta. We report the first case of Cryptococcal aortitis presenting as a ruptured abdominal aortic aneurysm. The surgical, pathologic, and microbiologic aspects of fungal aortitis are discussed.  (+info)

Inflammatory abdominal aortic aneurysm: A postoperative course of retroperitoneal fibrosis. (2/136)

PURPOSE: The long-term outcome and the development of retroperitoneal fibrosis after surgery on an inflammatory aortic aneurysm was studied. METHODS: Between 1989 and 1997, 1035 patients underwent surgery for an abdominal aneurysm, 42 of whom (4.1%) had typical signs of inflammation. All patients underwent computed tomography (CT) scans before operation, and 26 patients were followed up with a CT scan after a median of 36 months (range, 10 to 91 months). RESULTS: The inflammatory layer resolved completely in only 23% of the patients. One patient had marked progression, 35% of patients showed improvement, and the remaining patients had no change, compared with the preoperative findings. Although clinical symptoms subsided in 90% of patients, in five cases an involvement of the ureter or intestine that did not exist at the time of operation developed. Although ureteral involvement to the inflammation tends to subside after surgery, persisting fibrosis was associated with ureteral entrapment in 30% of these cases and resulted in renal compromise in 49%. Hydronephrosis that was not present at the time of operation was found in 19% of patients, despite improving or stable inflammatory lesions. CONCLUSION: This case-control study supports the findings that retroperitoneal fibrosis persists longer than previously thought, and progression might even occur. Formerly uninvolved organs might become included in the process despite regression of the layer, leading to considerable problems if the condition is not treated in institutions familiar with this complex disease. We advocate a moderated follow-up scheme, as in the case of ordinary abdominal aortic aneurysm, and the need for long-term surveillance of inflammatory aneurysms.  (+info)

Aortitis due to Salmonella: report of 10 cases and comprehensive review of the literature. (3/136)

We describe ten cases of aortitis due to Salmonella that were treated at the University of Toronto-affiliated Hospitals between 1978 and 1997. Predisposing conditions included hypertension, diabetes mellitus, and myelodysplastic syndrome. Main presenting symptoms were fever and abdominal and back pain. The most frequent site involved was the abdominal aorta, followed by the thoracic aorta. All but one patient were treated with intravenous bactericidal antibiotics; seven also underwent surgery, four with axillobifemoral grafts and three with in situ grafts. Four of seven patients died within 1 month of the surgical procedure (three patients with in situ grafts and one patient with axillobifemoral graft). We also reviewed the pathogenesis, clinical and laboratory characteristics, and treatment of 140 cases of aortitis due to Salmonella reported in the literature since 1948. The use of bactericidal antibiotics, together with early surgical intervention and long-term suppressive antibiotic therapy, has led to improved survival.  (+info)

Aortic valve replacement for aortic regurgitation caused by aortitis. (4/136)

Between January 1984 and December 1998, 19 patients (16 with Takayasu's arteritis, 3 with non-Takayasu's aortitis) underwent surgical treatment for aortic regurgitation resulting from the aortitis. Of the 19 patients, 14 had aortic valve replacement (AVR) and 5 had aortic root replacement. One patient (5.3%) died of graft infection during the hospital stay. During the follow-up period, 1 (5.6%) of the 18 postoperative patients died of paravalvular leakage due to valve detachment, which also required redo-operations in 2 patients with non-Takayasu's aortitis. Both patients were operated on during the active phase of the inflammation without perioperative steroid therapy. Although transmural pledgeted sutures were used for replacement of the detached prosthetic valve in 1 of these 2 patients, disruption of the aortic wall resulted in recurrence of valve detachment. In the other patient, aortic root replacement was successfully performed with the Cabrol technique in the second operation. Perioperaitve steroid therapy plays an important role in preventing complications after AVR when the valve replacement is carried out during the active phase of the inflammation, and for patients with non-Takayasu's aortitis, aortic root replacement should be considered to reduce the tension on the suture line and the native aortic valve annulus.  (+info)

Unusual complications in an inflammatory abdominal aortic aneurysm. (5/136)

An unusual case of an inflammatory abdominal aortic aneurysm (IAAA) associated with coronary aneurysms and pathological fracture of the adjacent lumbar vertebrae. The associated coronary lesions in cases of IAAA are usually occlusions. In the present case, it was concluded that a possible cause of the coronary aneurysm was coronary arteritis and the etiology of the pathological fracture of the lumbar vertebrae was occlusion of the lumbar penetrating arteries due to vasculitis resulting in aseptic necrosis. Inflammatory AAA can be associated with aneurysms in addition to occlusive disease in systemic arteries. The preoperative evaluation of systemic arterial lesions and the function of systemic organs is essential.  (+info)

Fifteen-year experience of transperitoneal management of inflammatory abdominal aortic aneurysms. (6/136)

OBJECTIVES: to assess the long-term outcome of patients with inflammatory abdominal aortic aneurysms. MATERIALS AND METHODS: over a fifteen-year period 598 cases of abdominal aortic aneurysm were treated and, of these, 32 cases (5.3%) were inflammatory in nature. The diagnosis was made on preoperative (CT) computed tomography in fifteen cases. Twenty-six patients were symptomatic on presentation and ten cases were repaired on an emergency basis. Only six were repaired electively. The transabdominal transaortic approach without dissection on the nearby adherent structures was used routinely. RESULTS: there was one postoperative death from a respiratory arrest leading to a thirty-day mortality of 3.1%. Early graft thrombosis occurred in three cases (9.3%) and all underwent successful thrombectomy. Colonic ischaemia was encountered in one patient who later developed an aortoenteric fistula. Two patients suffered a non-fatal myocardial infarction postoperatively leading to an overall morbidity of 18.7%. CONCLUSIONS: patients with inflammatory aortic aneurysms fare worse than patients with aortic aneurysms in general. Preoperative suspicion assists in planning surgery. We believe that the transperitoneal approach with an anterolateral aortotomy and minimal dissection of adherent structures offers excellent results in dealing with this difficult group of patients.  (+info)

A patient with fever and an abdominal aortic aneurysm. (7/136)

A 55-year-old man with an abdominal aortic aneurysm presented with fever and abdominal pain 3 weeks after an episode of Salmonella gastroenteritis. His symptoms persisted despite antimicrobial therapy. Two abdominal computed tomography (CT) scans showed no evidence of aortitis. His abdominal pain worsened and further investigation including a third CT scan demonstrated a leaking aortic aneurysm. The wall of the aorta was shown to contain Gram-negative bacilli. This case illustrates the difficulty in diagnosing bacterial aortitis.  (+info)

Papulonecrotic tuberculide and stenosis of the abdominal aorta. (8/136)

Papulonecrotic tuberculide (PNT) is a rare form of skin tuberculosis affecting predominantly young adults, with a history of immunity to Mycobacterium tuberculosis. We report a case of a young Caucasian female with PNT who was also documented to have a stenotic segment in the abdominal aorta. The difficulty in clarifying and treating the primary disease and the association between a tuberculous infection and Takayasu's arteritis are discussed.  (+info)

*Aortitis

... is most common in people 10 to 40 years of age. This inflammation has a number of possible causes, including trauma, ... Aortitis is the inflammation of the aortic wall. The disorder is potentially life-threatening and rare. It is reported that ... "eMedicine - Aortitis : Article by Masato Okada, MD, FACP, FACR, FAAAAI". Archived from the original on 14 July 2007. Retrieved ... Aortitis is most commonly seen in patients with syphilis, autoimmune vasculitis (giant cell arteritis, Takayasu's arteritis), ...

*Syphilitic aortitis

... (SA) is inflammation of the aorta associated with the tertiary stage of syphilis infection. SA begins as ... Unlike atherosclerosis, which typically manifests in older people, syphilitic aortitis typically affects those under the age of ... If the disease progresses, syphilitic aortitis leads to an aortic aneurysm. ...

*Karl Gottfried Paul Döhle

A sometimes-used synonym of syphilitic aortitis is "Döhle-Heller aortitis", named after Döhle and Arnold Ludwig Gotthilf Heller ... Treatise on syphilitic aortitis), Kiel, 1885. Vorläufige Mittheilung über Blutbefunde bei Masern, Zentralblatt für allgemeine ... He is credited with providing a clear anatomical understanding of syphilitic aortitis. ...

*Orthostatic hypertension

Aortitis (inflammation of the aorta) with nephroptosis: "This orthostatic hypertension largely may be due to an activation of ... "Orthostatic hypertension with nephroptosis and aortitis disease". Archives of Internal Medicine. 144 (1): 152-154. doi:10.1001/ ... the renin system caused by nephroptosis and partly due to a reduced baroreflex sensitivity caused by aortitis" Pheochromocytoma ...

*Giant-cell arteritis

Walter, MA; Melzer, RA; Graf, M; Tyndall, A; Müller-Brand, J; Nitzsche, EU (2005). "[18F]FDG-PET of giant-cell aortitis". ...

*IgG4-related disease

Urgent treatment is advised with certain organ manifestations, such as aortitis, retroperitoneal fibrosis, proximal biliary ... "IgG4-related systemic disease and lymphoplasmacytic aortitis". Arthritis & Rheumatism. American College of Rheumatology. 60 (10 ...

*Clostridium septicum

doi:10.1016/0002-9343(79)90483-2. Liechti, ME; Schob, O; Kacl, GM; Caduff, B (2003). "Clostridium septicum aortitis in a ...

*Necrotizing vasculitis

Aortitis can also be considered a large-vessel disease. Takayasu arteritis. Primarily affects the aorta and its main branches. ...

*Cor bovinum

Due to Syphilitic aortitis (a complication of tertiary syphilis) the aortic valve ring becomes dilated. The free margins of ... Cardiomegaly Left ventricular hypertrophy Syphilitic aortitis Ventricular hypertrophy Kumar, V et al. Robbins and Colran ...

*Arnold Ludwig Gotthilf Heller

Ueber die syphilitische Aortitis und ihre Bedeutung für die Entstehung von Aneurysmen. Verhandlungen der deutschen ... he described syphilitic aortitis, a condition sometimes referred to as "Döhle-Heller syndrome". In 1869 he demonstrated how ...

*Syphilis

The most common complication is syphilitic aortitis, which may result in aneurysm formation. Congenital syphilis is that which ...

*John Benjamin Murphy

After he suffered from angina pectoris for several years, his death was attributed to aortitis. Two days prior to his death he ...

*Vasa vasorum

Inflammation and subsequent destruction of the vasa vasorum is the cause of syphilitic aortitis in tertiary syphilis. ...

*Naser Kamalian

A case of combined rheumatic heart disease, syphilitic aortitis, and silico-tuberculosis. Wis Med J. 1974 Jan; 73(1): S3-6. ...

*Mycotic aneurysm

... except for syphilitic aortitis. The term "infected aneurysm," proposed by Jarrett and associates is more appropriate, since few ...

*Vasculitis

For example, the cause of syphilitic aortitis is infectious (aortitis simply refers to inflammation of the aorta, which is an ...

*Outline of cardiology

Aortitis - Inflammation of the aorta that can be seen in giant cell arteritis, polymyalgia rheumatica, rheumatoid arthritis, ...

*Pulse

An unequal pulse between upper and lower extremities is seen in coarctation to aorta, aortitis, block at bifurcation of aorta, ...

*Aortic insufficiency

... syphilitic aortitis, osteogenesis imperfecta, aortic dissection, Behçet's disease, reactive arthritis and systemic hypertension ...

*Aneurysm

Specific infective causes associated with aneurysm include: Advanced syphilis infection resulting in syphilitic aortitis and an ...

*Reactive arthritis

... or aortitis with aortic regurgitation. However, most people with reactive arthritis can expect to live normal life spans and ...

*Aorta

... post-ductal Aortic dissection Aortic stenosis Aortitis, inflammation of the aorta that can be seen in trauma, infections, and ...

*List of MeSH codes (C14)

... aortitis MeSH C14.907.940.090 --- arteritis MeSH C14.907.940.090.170 --- aids arteritis, central nervous system MeSH C14.907. ... aortitis MeSH C14.907.109.661 --- leriche's syndrome MeSH C14.907.137.126 --- arteriosclerosis MeSH C14.907.137.126.056 --- ...
Infectious thoracic aortitis is a rare disease, especially since the incidence of syphilis and tuberculosis has dropped in western countries. However, the risk to develop an infectious aortitis and subsequent mycotic aneurysm formation is still present, particularly in case of associated endocarditis, sepsis, and in immunosuppressive disorders. Moreover, the number of surgical and endovascular thoracic aortic repairs is continuously increasing, and infective graft complications are observed more frequently. Several etiopathogenetic factors may play a role in thoracic aortic and prosthetic infections, including hematogenous seeding, local bacterial translocation, and iatrogenous contamination. Also, fistulization of the esophagus or the bronchial tree is commonly associated with these diseases, and it represents a critical event requiring a multidisciplinary management. Knowledge on underlying micro-organisms, antibiotic efficacy, risk factors, and prevention strategies has a key role in the ...
Inflammatory aortic aneurysm (IAA), also known as Inflammatory abdominal aortic aneurysm (IAAA), is a type of abdominal aortic aneurysm (AAA) where the walls of the aneurysm become thick and inflamed. Similar to AAA, IAA occurs in the abdominal region. IAA is closely associated and believed to be a response to and extensive peri-anuerysmal fibrosis, which is the formation of excess fibrous connective tissue in an organ or tissue in a reparative or reactive process IAA accounts for 5-10% of aortic aneurysms. IAA is occurs mainly in a population that is on average younger by 10 years than most AAA patients. Some common symptoms of IAA may include back pain, abdominal tenderness, fevers, weight loss or elevated Erythrocyte sedimentation rate (ESR) levels. Corticosteroids and other immunosuppressive drugs have been found to decrease symptoms and the degree of peri-aortic inflammation and fibrosis Inflammatory Aortic Aneurysms occur typically in a younger population compared to the typical Abdominal ...
A 46-year-old man was given a diagnosis of hypertension about 20 years previously. At age 41, aortitis syndrome was diagnosed, with descending thoracic aortic aneurysm and the coarctation of abdominal aorta by CT scan. He then underwent surgery to replace the descending thoracic aortic aneurysm and right axillo-bifemoral bypass. Recently, a thoraco-abdominal aortic aneurysm was pointed out at the distal site of the graft and, he was referred to our institute. We occluded the distal end of the aneurysm using an endoluminal occlusion stent graft. Today, in most cases of aortopathy associated with aortitis syndrome, surgical replacement of the aneurysms and extra-anatomical bypass is performed. An endovascular stent graft treatment combined with extra-anatomical bypass could be useful for various aortic disorders ...
We report the case of a 55-year-old woman with aortitis syndrome. She was admitted to our hospital because of repeated chest pain and syncope. An electrocardiogram and the laboratory data suggested acute myocardial infarction, and coronary angiography showed severe bilateral coronary ostial stenosis. No valvular disease was observed. Aortitis syndrome was suspected because of the stenosis of the brachiocephalic artery in addition to the bilateral coronary ostial stenosis, while the patient did not have elevated C-reactive protein iCRP jand erythrocyte sedimentation rate iESR). Coronary artery bypass grafting was performed, and the patient fs postoperative course was uneventful. However, she again experienced chest pain 9 months after surgery due to aortic regurgitation iAR jand diffuse narrowing change of the left internal thoracic artery graft. Aortic valve replacement and Re-CABG was performed, and the patient was treated with steroid therapy postoperatively. The postoperative course was ...
The sub-renal abnormalities of the lower vena cava (LVC) (left LVC, double LVC) are determined by a deterioration of the alteration process of supra-cardinal veins. Though they are rare, it is necessary to look for them during surgery of abdominal aorta in order to lower the risk of iatrogenic venous injuries. You will find below the description of six cases of sub-renal lower vena cava abnormality (3 double LVC, 3 left LVC) associated with an abdominal aorta aneurism (4 non specific aneurisms, 2 inflammations ones) as well as the diagnostic aspects and the technical issues they cause during the reconstruction of a non specific and inflammation aneurism of the abdominal aorta ...
Teaching Files with CT Medical Imaging and case studies on Anatomical Regions including Adrenal, Colon, Cardiac, Stomach, Pediatric, Spleen, Vascular, Kidney, Small Bowel, Liver, Chest | CTisus
An 86-year-old man presented to our emergency department with fever that he had been experiencing for days. His body temperature was 38.6°C (101.5°F), heart rate was 86 bpm, and blood pressure was 96/50 mm Hg. There was no chest pain, back pain, or abdominal discomfort. Previous medical history included type II diabetes mellitus and prostate cancer under hormonal therapy. Decreased left breathing sound was noted. Initial laboratory studies revealed leukocytosis, elevated C-reactive protein, and acute renal failure. A chest x-ray disclosed a massive amount of left pleural effusion. A thoracocentesis was performed, and the fluid was pus-like exudates. Transverse, sagittal, and coronal views of noncontrast chest computed tomography are shown in Figure A, B, and C, respectively (see also Movies I through III in the online-only Data Supplement). Periaortic foamy air collection was found up to the arch and down to the infrarenal abdominal aorta. Aortic wall invasion was observed in a segment of ...
Introdução. A aortite tuberculosa é uma entidade rara inicialmente descrita por Weigert em 1882.. Report. Um homem de 73 anos, sob controlo imagiológico regular por aneurisma da aorta abdominal de 4cm de diâmetro, foi referenciado ao Departamento por suspeita de ruptura contida. O doente estava assintomático e a Angio-TC evidenciava uma massa inflamatória envolvendo o aneurisma. Durante a cirurgia electiva convencional, infiltração da parede do aneurisma e adenopatias foram identificadas. A análise histológica era compatível com tuberculose. Oito meses após a cirurgia, o doente encontra-se estável e sob terapêutica tuberculostática.. Conclusão. A associação entre tratamento cirúrgico e terapêutica tuberculostática de longa duração é a melhor opção terapêutica para os casos de aortite tuberculosa.. ...
A 20 year old girl had uncontrolled hypertension and absent lower limb pulses. Transoesophageal echocardiography was done. Cross section of the descending aorta at T8 and T9 vertebral level showed an irregular shaped lumen (below left, panel A, arrows; AO, aorta). There was intimal thickening. Long axis imaging showed long segment tight stenosis with the typical rat tail deformity (panel B, arrows) of the lumen. The narrowest diameter was 2 mm while the normal segment above was 11 mm. Non-specific aortoarteritis was diagnosed. Descending aortic injection confirmed the above findings (below right). There was irregular luminal narrowing with rat tail deformity.. ...
6 patients (4 men, 2 women) were included. 2 patients were childrens. Median age was 45 years (9-62 years). The average diagnostic delay between the onset ocular symptoms and immuno histo chemical confirmation was 18 months (2-72 months). Mean follow-up was 32 months (2-72 months). 1 patient (age 9) had a single eye-lid reached, while 5/6 patients also had systemic involvement like parotidis,affected lymph node and tonsil, thyroiditis, aortitis, skin involvement. In 2 cases we found an infraorbital nerve enlargement. All patients had a permanent or transient clinical improvement with corticotherapy.. ...
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Sigma-Aldrich offers abstracts and full-text articles by [Hanjun Zhao, Akihiko Ito, Shinya H Kimura, Norikazu Yabuta, Naohiko Sakai, Masahito Ikawa, Masaru Okabe, Yuji Matsuzawa, Shizuya Yamashita, Hiroshi Nojima].
PET was first utilized for imaging aortitis in the late 1990s to help establish a diagnosis in patients with fever of unknown origin. Giant cell arteritis with atypical (extracranial) features and Takayasu arteritis in the early "pre-pulseless" phase was often diagnosed in these patients (14,15). Numerous studies have since demonstrated the utility of PET in giant cell arteritis patients (16) given that temporal artery biopsy is negative in about 15% of typical giant cell arteritis patients and approximately 40% of those with predominantly large vessel involvement (17). Giant cell arteritis has now been established as the most common form of aortitis (18). Furthermore, about 30% of polymyalgia rheumatica (often coexistent with giant cell arteritis) patients have demonstrated large vessel arteritis, including aortitis (19). The sensitivity and specificity of PET in diagnosing giant cell arteritis or polymyalgia rheumatica are reported as 80% and 89%, respectively, in a recent meta-analysis; ...
The authors reported that RPF was idiopathic in 37% of their patients; in the remaining 63%, it was secondary to atherosclerosis (chronic periaortitis and perianeurysmal fibrosis) or recurrent pancreatitis. This description is somewhat unclear. Although there are no standardized classification criteria for the condition, idiopathic RPF is usually included in the spectrum of chronic periaortitis, which also encompasses inflammatory abdominal aortic aneurysms and perianeurysmal RPF (2, 3). Furthermore, it is still unknown whether chronic periaortitis is actually secondary to atherosclerosis because it may also result from an underlying systemic autoimmune disease (3, 4). In addition, we question the appropriateness of including patients with RPF secondary to pancreatitis in this series, which was otherwise composed of cases that were not associated with other diseases ...
Forth-one-year-old male admitted to emergency department with the complaint of abdominal pain. Wall of abdominal aorta seemed thickened on ultrasonography (USG). Abdominal computerized tomographic angiography showed soft tissues surrounding aorta, beginning 9 cmproximal to iliac bifurcation and continuing up to the level of common iliac artery (aortitis? retroperitoneal fibrosis?), and the patient was referred to rheumatology clinic. The patient was hospitalized for further investigations. He did not complain of fever, fatigue, or urinary symptoms. The blood tests revealed the following: Erythrocyte sedimentation rate (ESR) 57 mm/h, CRP 43 mg/L, HGB 14.1 g/dL, WBC count 9800/μL, PLT count 306000/μL, MCV 82.3 fL, creatinine 1.15 mg/dL and ALT 18 U/L. The urinalysis of the patients was normal, and he was negative for ANA, ANCA and ENA. His IgM was 128 mg/dL (46-304), IgG was 2060 mg/dL (751-1560), IgA was 415 mg/dL (82-453), IgG1 was 10700 mg/L (3824-9286), IgG2 was 9070 mg/L (2418-7003), IgG3 ...
TY - JOUR. T1 - Unusual modification of the cabrol shunt for control of hemorrhage in acute type a aortic dissection. AU - Panos, Anthony L.. AU - Suarez, Maria. AU - Salerno, Tomas. AU - Ricci, Marco. PY - 2009/9/1. Y1 - 2009/9/1. N2 - A patient with acute Type A dissection required complex root repair with composite graft. She developed life-threatening hemorrhage at the root of the aorta, which could not be controlled with usual measures. A modification of the original Cabrol shunt allowed for successful control of bleeding.. AB - A patient with acute Type A dissection required complex root repair with composite graft. She developed life-threatening hemorrhage at the root of the aorta, which could not be controlled with usual measures. A modification of the original Cabrol shunt allowed for successful control of bleeding.. UR - http://www.scopus.com/inward/record.url?scp=69949159309&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=69949159309&partnerID=8YFLogxK. U2 - ...
TY - JOUR. T1 - Vancomycin failure in staphylococcal endocarditis. AU - Jackson, Mary Anne. AU - Hicks, Ralph. PY - 1987. Y1 - 1987. UR - http://www.scopus.com/inward/record.url?scp=0023279989&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0023279989&partnerID=8YFLogxK. M3 - Article. C2 - 3499592. AN - SCOPUS:0023279989. VL - 6. SP - 750. EP - 752. JO - Pediatric Infectious Disease Journal. JF - Pediatric Infectious Disease Journal. SN - 0891-3668. IS - 8. ER - ...
IAA2_WHEAT (P01083 ), IAA3_WHEAT (P10846 ), IAA4_SORBI (P81367 ), IAA5_SORBI (P81368 ), IAA5_WHEAT (P01084 ), IAAA_HORVU (P28041 ), IAAB_HORVU (P32936 ), IAAC1_WHEAT (P16850 ), IAAC2_WHEAT (P16851 ), IAAC3_WHEAT (P17314 ), IAAC_HORVU (P34951 ), IAAD_HORVU (P11643 ), IAAE_HORVU (P01086 ), IAAT_ELECO (P01087 ), IAA_HORVU (P16969 ), IAC16_WHEAT (P16159 ), IAC17_WHEAT (P16852 ), ICIW2_WHEAT (P83207 ), ITRF_MAIZE (P01088 ), RA05_ORYSJ (Q01881 ), RA16_ORYSJ (Q8H4L8 ), RAG1_ORYSJ (Q01883 ), RAG2_ORYSJ (Q01882 ...
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To the Editor:-Fever of unknown origin in patients with giant cell arteritis (GCA) who have neither cephalic symptoms nor histological evidence of temporal arteritis(TA) has, as it corollary, potentially life-threatening aortitis in patients with isolated polymyalgia rheumatica (PMR). In one study, in spite of isolated PMR, the latter characterised by absence of cephalic stigmata as well as by non-diagnostic temporal artery (TA) biopsy, aortitis was, nevertheless, an associated feature, documented by 18-fluorodeoxyglucose positron emission tomography. In other cases only absence of cephalic signs sufficed to characterise isolated PMR, and, in two such instances, aortitis was documented by nuclear magnetic resonance imaging. Diagnostic difficulty is compounded when there is neither cephalic nor PMR symptomatology, as in a 75-year-old woman in whom the only feature of GCA was progressive enlargement of an ascending thoracic aortic aneurysm, necessitating surgical treatment. Histology of the surgical
Chronic periaortitis is a clinico-pathological entity encompassing idiopathic retroperitoneal fibrosis and perianeurysmal retroperitoneal fibrosis. The treatment of this disease is generally based on the use of glucocorticoids, which are often effective. However, prolonged steroid treatments are usually needed to achieve a sustained remission; additionally, patients frequently develop disease relapses following treatment discontinuation, therefore they may be exposed to high cumulative doses of glucocorticoids.. Preliminary data reported in the literature show that methotrexate may be effective in combination with prednisone for retroperitoneal fibrosis. In addition, methotrexate is often used as a steroid-sparing agent in different inflammatory diseases.. The aim of this study is to evaluate whether a treatment with low-dose prednisone plus methotrexate is non-inferior to conventional dose-prednisone in achieving remission in retroperitoneal fibrosis patients. ...
Chronic periaortitis is a clinico-pathological entity encompassing idiopathic retroperitoneal fibrosis and perianeurysmal retroperitoneal fibrosis. The treatment of this disease is generally based on the use of glucocorticoids, which are often effective. However, prolonged steroid treatments are usually needed to achieve a sustained remission; additionally, patients frequently develop disease relapses following treatment discontinuation, therefore they may be exposed to high cumulative doses of glucocorticoids.. Preliminary data reported in the literature show that methotrexate may be effective in combination with prednisone for retroperitoneal fibrosis. In addition, methotrexate is often used as a steroid-sparing agent in different inflammatory diseases.. The aim of this study is to evaluate whether a treatment with low-dose prednisone plus methotrexate is non-inferior to conventional dose-prednisone in achieving remission in retroperitoneal fibrosis patients. ...
Medial degeneration was the most frequent diagnosis in this series of aortic specimens. Medial degeneration was equally common in patients above and below 65 years of age. However, in cases with acute type A aortic dissections, high grade atherosclerosis was the leading histopathological diagnosis in patients older than 65 years. Acute type A aortic dissections seem to have different underlying pathologies in different age groups.. This series represents a one-year volume of an aortic referral center. The intention of this analysis was to correlate histopathological to morphological findings from imaging as well as to raise our intraoperative macroscopic and subjective impressions to a microscopic and objective level.. According to the risk factors a height prevalence of hypertension was observed in all of the patient groups. Especially the TAD group ≥ 65 years of age showed a relatively high rate of hypertension with no clinical diagnosis of connective tissue disease in this group. Generally, ...
The incidence and etiological classification of valvular diseases were examined on 358 cases from 3,000 consecutive autopsies of more than 60 years of age. The incidence of valvular disease was 11.9% (358 out of 3,000 cases). Mitral stenosis was found in 23 cases (6.4%), of which 21 cases were rheumatic and the remaining 2 were mitral ring calcification (MRC). Mitral regurgitation was observed in 126 cases (35.3%): 69 of papillary muscle dysfunction, 26 of mitral valve prolapse (MVP), 16 of MRC, 9 of ruptured chordae tendineae, 3 of rheumatic and 3 of congenital. Aortic stenosis was noted in 33 cases (9.2%): 27 of calcified, 5 of rheumatic and one of congenital. Aortic regurgitation was found in 169 cases (47.2%): 112 of degenerative, 47 of syphilitic, 7 of rheumatic and 2 of aortitis syndrome. There were 6 cases (1.7%) of tricuspid regurgitation. Etiological classification revealed 6 cases (1.7%) of congenital, 36 (10%) of rheumatic, 49 (13.7%) of syphilitic, 27 (7.5%) of MVP, 69 (19.3%) of ischemic
IgG4-related disease (IgG4RD) is a novel clinical disease entity characterized by elevated serum IgG4 concentration and tumefaction or tissue infiltration by IgG4-positive plasma cells. IgG4RD may be present in a certain proportion of patients with a wide variety of diseases, including Mikuliczs disease, autoimmune pancreatitis, hypophysitis, Riedel thyroiditis, interstitial pneumonitis, interstitial nephritis, prostatitis, lymphadenopathy, retroperitoneal fibrosis, inflammatory aortic aneurysm, and inflammatory pseudotumor. Although IgG4RD forms a distinct, clinically independent disease category and is attracting strong attention as a new clinical entity, many questions and problems still remain to be elucidated, including its pathogenesis, the establishment of diagnostic criteria, and the role of IgG4. Read More ...
Understanding the pathogenesis of aortic dissection requires consideration of the inciting event that causes the intimal-medial tear and the propagation of blood within the aortic media. Although various risk factors that predispose the aorta to dissection have been described well, the precise insult that leads to laceration of the intima and media remains unclear.. Historically, the primary causative event that leads to aortic dissection has been extremely controversial. Cystic medial necrosis associated with Marfan disease and other connective tissue disorders was once believed to contribute to aortic medial degeneration, leading to aortic dissection. Larson and Edwards,42 however, demonstrated that only a few of their 161 patients with known aortic dissection exhibited medial degeneration. They found that 158 of these patients had intimal aortic tears at autopsy, which supports the theory initially proposed by Murray and Edwards43 that the intimal tear is the primary event, allowing the blood ...
Medial degeneration associated with thoracic aortic aneurysm and acute aortic dissection was originally described by Erdheim as a noninflammatory lesion related to the loss of smooth muscle cells and elastic fibre fragmentation in the media. Recent evidences propose the strong role of a chronic immune/inflammatory process in aneurysm evocation and progression. The coexistence of inflammatory cells with markers of apoptotic vascular cell death in the media of ascending aorta with aneurysms and type A dissections raises the possibility that activated T cells and macrophages may contribute to the elimination of smooth muscle cells and degradation of the matrix ...
Mitochondria-associated ER membranes (MAMs) are crucial for lipid transport and synthesis, calcium exchange, and mitochondrial functions, and they also act as signaling platforms. These contact sites also play a critical role in the decision between autophagy and apoptosis with far reaching implications for cell fate. Vascular smooth muscle cell (VSMC) apoptosis accelerates atherogenesis and the progression of advanced lesions, leading to atherosclerotic plaque vulnerability and medial degeneration. Though the successful autophagy of damaged mitochondria promotes VSMC survival against pro-apoptotic atherogenic stressors, it is unknown whether MAMs are involved in VSMC mitophagy processes. Here, we investigated the role of the multifunctional MAM protein phosphofurin acidic cluster sorting protein 2 (PACS-2) in regulating VSMC survival following a challenge by atherogenic lipids. Using high-resolution confocal microscopy and proximity ligation assays, we found an increase in MAM contacts as in PACS-2
We have demonstrated that MMP-8 can degrade and process apolipoA-1 and reduce accordingly the macrophage efflux (Salminen et al. Infl Res -13, FASEB-J -15). At the same time we demonstrated that sub-antimicrobial-doxycycline mediation prevent these processes demonstrating new anti-inflammatory/-proteolytic mechanism for adjunctive doxycycline-medication, inhibition of MMP-8. We have addressed the genetic background (GWAS) related to the elevated serum and salivary MMP-8 (Salminen et al. 2015).
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Performing a temporal artery biopsy is still the easiest way to diagnose giant cell arteritis. However, this biopsy is not always positive, even not in patients with prominent cranial symptoms. In these cases, positron emission tomography with 18-fluorodeoxyglucose as a tracer is a valid alternative. This nuclear technique has demonstrated that involvement of large arteries such as the aorta or the subclavian arteries occurs in 50 to 80% of patients. Ultrasonographic examination of an inflamed temporal artery can demonstrate a halo, corresponding to edema of the intimal layer of the artery. Only in very experienced hands, this non-invasive technique can replace a surgical biopsy. Magnetic resonance imaging and computerized tomographic scanning are not used in the diagnosis of giant cell arteritis, but these techniques can visualize the extent of the disease, e.g. to the aorta with possible aortitis or to a partical artery ...
TY - CHAP. T1 - Uveitis, cogans syndrome, and sarcoidosis. AU - McCallum, Rex. AU - St Clair, E. William. PY - 2007/1/1. Y1 - 2007/1/1. N2 - INTRODUCTION Uveitis, Cogans syndrome (CS), and sarcoidosis are inflammatory disorders in which the predominant manifestations often target the head and neck. However, the head and neck disease may only be a part of a systemic illness with a diverse array of signs and symptoms. The potential for these conditions to be associated with inflammatory disease beyond the head and neck must be taken into account, to ensure appropriate recognition of the full extent of organ system involvement. Uveitis, a type of inflammatory eye disease, may occur in isolation or be a sign of an underlying systemic illness such as ankylosing spondylitis, inflammatory bowel disease, or sarcoidosis. CS is a distinct, albeit rare, clinical entity characterized by inflammatory ocular and inner ear disease; however, it may also be associated with aortitis and systemic vasculitis, ...
In general, Coronary ostial stenosis rarely occurs in patient after the replacement of the aortic valve. It takes place after the aortic valve replacement
To the Editor: Chambers and colleagues (1) reported cure rates of 94% and 33% in episodes of right-sided Staphylococcus aureus endocarditis treated with 2 weeks of nafcillin-tobramycin, and vancomycin-tobramycin, respectively. The enrollment group included 17 patients with endocarditis who were dropped from study analysis when exclusionary criteria developed during treatment. We question the reported cure rates and the pragmatic approach to dropout analysis (2) adopted by Chambers and colleagues.. In order to include these dropouts in the study analysis, one should assume the broadest range of circumstances. In this formulation, all 17 episodes would be cured or not cured. Using ...
Smooth muscle cell (SMC) proliferation has been thought to limit the progression of thoracic aortic aneurysm and dissection (TAAD) because loss of medial cells associates with advanced disease. We investigated effects of SMC proliferation in the aortic media by conditional disruption of Tsc1, which hyperactivates mTOR complex 1. Consequent SMC hyperplasia led to progressive medial degeneration and TAAD. In addition to diminished contractile and synthetic functions, fate-mapped SMCs displayed increased proteolysis, endocytosis, phagocytosis, and lysosomal clearance of extracellular matrix and apoptotic cells. SMCs acquired a limited repertoire of macrophage markers and functions via biogenesis of degradative organelles through an mTOR/β-catenin/MITF-dependent pathway, but were distinguishable from conventional macrophages by an absence of hematopoietic lineage markers and certain immune effectors even in the context of hyperlipidemia. Similar mTOR activation and induction of a degradative SMC ...
Smooth muscle cell (SMC) proliferation has been thought to limit the progression of thoracic aortic aneurysm and dissection (TAAD) because loss of medial cells associates with advanced disease. We investigated effects of SMC proliferation in the aortic media by conditional disruption of Tsc1, which hyperactivates mTOR complex 1. Consequent SMC hyperplasia led to progressive medial degeneration and TAAD. In addition to diminished contractile and synthetic functions, fate-mapped SMCs displayed increased proteolysis, endocytosis, phagocytosis, and lysosomal clearance of extracellular matrix and apoptotic cells. SMCs acquired a limited repertoire of macrophage markers and functions via biogenesis of degradative organelles through an mTOR/β-catenin/MITF-dependent pathway, but were distinguishable from conventional macrophages by an absence of hematopoietic lineage markers and certain immune effectors even in the context of hyperlipidemia. Similar mTOR activation and induction of a degradative SMC ...
A 73-year-old man with Hashimotos thyroiditis (HT) suffered from purpura on the lower legs. He was diagnosed with IgG4-related disease (IgG4-RD) with serum IgG4 elevation and dacryo-sialadenitis confirmed histologically. Serum Th2 and Treg cytokines, interleukin 7 (IL7), IL8 and Th2 chemokine levels were elevated, while skewed Th1 balance was seen in fluorescence-activated cell sorting (FACS). Therefore, preferential Th1 balance in HT appeared to be followed by IgG4-RD characterized with Th2 and Treg polarization. The commencement of steroid therapy dramatically exacerbated clinical manifestations including IgG4-RD-associated HT. The measurement of cytokine and chemokine levels as well as FACS analysis in the development of IgG4-RD seemed to be beneficial. In conclusion, an innovative association of HT, IgG4-RD and vasculitis was observed. This report also offers novel diagnostic and therapeutic approaches for IgG4-RD. ...
Maintenance treatment of retroperitoneal fibrosis with steroids is a better option than treatment with tamoxifen as the symptoms & recurrence is reduced.
Learn about Takayasu disease, a chronic inflammation of the aorta. Takayasu disease symptoms include dizziness, headaches, chest pain, and abdominal pain.
On average it takes 44 months from onset of symptoms to diagnose Takayasu arteritis. Because of its rarity and the often subtle physical findings, Takayasu arteritis frequently fails to enter the differential diagnosis for patients with fever of unknown origin (FUO). Thus it is critical to consider Takayasu arteritis in patients under 40 with FUO, aortic regurgitation, hypertension, or absent pulses. Rarely, patients older than 40 years of age meet the criteria for Takayasu arteritis because of a prolonged pre-diagnostic period or late onset of symptoms. In this case, giant cell arteritis may be indistinguishable from Takayasu arteritis; however, initial treatment for both is nearly identical ...
Definition of Clostridium septicum. Provided by Stedmans medical dictionary and Drugs.com. Includes medical terms and definitions.
Takayasu arteritis is a chronic inflammatory disease of the aorta and its major branches. The disorder is a large vessel vasculitis of unknown origin that most often affects young women in the second and third decades of life (see the image below).
The French urologist Albarran first described retroperitoneal fibrosis (RPF) in 1905, but with Ormonds publication in 1948, the disease became an established clinical entity. (See the image below.
Contact our team of experienced personal injury specialists about retroperitoneal fibrosis claims for compensation. Long established, UK wide legal team
BMJ: British Med J. Some of the arboviruses strike at the extremes of age, with the elderly at greater risk of infection, while mumps and measles peak in the later teenage years. The ameliorating effect of lumbar puncture in viral meningitis. For example, Viral Meningitis may occur as a complication in people with genital herpes. Diagnostic accuracy of cerebrospinal fluid lactate for differentiating bacterial meningitis from aseptic meningitis: A meta-analysis. What tests do health-care professionals use to diagnose oral herpes? Cardiovascular Syphilis Endarteritis of the vasa vasorum of the aorta can lead to aortitis and aneurysm formation.. What is its pathology? Meningococcal disease (either meningitis or septicaemia due to Neissaria meningitidis) can cause some long-term complications. Effect of delayed lumbar punctures on the diagnosis of acute bacterial meningitis in adults. These will prevent serious complications as well as neurological damage. You cannot develop shingles unless you ...
This is a 45 year old male patient previously healthy presented with severe abdominal pain, admitted through the ER as a case of AF and signs of acute coronary syndrome. The widened mediation seen in the initial chest x-ray in addition to the si...
TY - JOUR. T1 - Subclavian steal syndrome secondary to Takayasu Arteritis in a young female Caucasian patient. AU - Tsivgoulis, Georgios. AU - Heliopoulos, Ioannis. AU - Vadikolias, Konstantinos. AU - Birbilis, Theodosios. AU - Piperidou, Charitomeni. PY - 2010/9/15. Y1 - 2010/9/15. N2 - Subclavian steal syndrome (SSS) is most frequently described in Caucasians aged over 50 years because of increased incidence of atherosclerosis in this population. Non-atherosclerotic etiologies of SSS are rare in Caucasians. We present a case of Subclavian Steal Syndrome secondary to Takayasu Arteritis (TA) in a 26 year-old female Caucasian patient. The present case underscores that despite the very low incidence of TA in Caucasians (0.8/1,000,000), this large-vessel vasculitis of unknown etiology should always be considered in the differential diagnosis of subclavian steal syndrome in Caucasian women aged less than 40 years.. AB - Subclavian steal syndrome (SSS) is most frequently described in Caucasians aged ...
Rosenberg IL, Jarjour WN. Rosenberg I.L., Jarjour W.N. Rosenberg, Irving L., and Wael N. Jarjour.GIANT CELL AND TAKAYASU ARTERITIS. In: Dean SM, Satiani B, Abraham WT. Dean S.M., Satiani B, Abraham W.T. Eds. Steven M. Dean, et al.eds. Color Atlas and Synopsis of Vascular Diseases New York, NY: McGraw-Hill; 2014. http://accesscardiology.mhmedical.com/content.aspx?bookid=1201§ionid=71015746. Accessed February 23, 2018 ...
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
In general, Coronary ostial stenosis rarely occurs in patient after the replacement of the aortic valve. It takes place after the aortic valve replacement procedure either in the left or right coronary blood vessel. The symptoms of the disease are severe and start appearing after one to six months. However, treatments could be done successfully. Read more ...

Emphysematous Aortitis | CirculationEmphysematous Aortitis | Circulation

Mycotic aortitis was suspected. Because of the patients age, surgical intervention was turned down by family. Sudden ... In situ reconstruction of septic aortic pseudoaneurysm due to Salmonella or Streptococcus microbial aortitis: long-term follow- ...
more infohttp://circ.ahajournals.org/content/122/5/e413

Aortitis | definition of aortitis by Medical dictionaryAortitis | definition of aortitis by Medical dictionary

... aortitis explanation free. What is aortitis? Meaning of aortitis medical term. What does aortitis mean? ... Looking for online definition of aortitis in the Medical Dictionary? ... aortitis. Also found in: Dictionary, Thesaurus, Encyclopedia, Wikipedia. aortitis. [a″or-ti´tis] inflammation of the aorta. ... aortitis. Cardiology Inflammation of the aorta. See Syphilitic aortitis. a·or·ti·tis (āōr-tītis) Inflammation of the aorta. ...
more infohttps://medical-dictionary.thefreedictionary.com/aortitis

Aortitis - WikipediaAortitis - Wikipedia

Aortitis is most common in people 10 to 40 years of age. This inflammation has a number of possible causes, including trauma, ... Aortitis is the inflammation of the aortic wall. The disorder is potentially life-threatening and rare. It is reported that ... "eMedicine - Aortitis : Article by Masato Okada, MD, FACP, FACR, FAAAAI". Archived from the original on 14 July 2007. Retrieved ... Aortitis is most commonly seen in patients with syphilis, autoimmune vasculitis (giant cell arteritis, Takayasus arteritis), ...
more infohttps://en.wikipedia.org/wiki/Aortitis

Giant cell aortitis | definition of giant cell aortitis by Medical dictionaryGiant cell aortitis | definition of giant cell aortitis by Medical dictionary

What is giant cell aortitis? Meaning of giant cell aortitis medical term. What does giant cell aortitis mean? ... Looking for online definition of giant cell aortitis in the Medical Dictionary? giant cell aortitis explanation free. ... has been described as being useful in giant cell aortitis and Takayasu arteritis [3], and may be useful in infectious aortitis ... giant cell aortitis. gi·ant cell a·or·ti·tis. giant cell arteritis involving the aorta. ...
more infohttp://medical-dictionary.thefreedictionary.com/giant+cell+aortitis

Syphilitic aortitis - WikipediaSyphilitic aortitis - Wikipedia

Syphilitic aortitis (SA) is inflammation of the aorta associated with the tertiary stage of syphilis infection. SA begins as ... Unlike atherosclerosis, which typically manifests in older people, syphilitic aortitis typically affects those under the age of ... If the disease progresses, syphilitic aortitis leads to an aortic aneurysm. ...
more infohttps://en.wikipedia.org/wiki/Syphilitic_aortitis

Aortitis with Ostial Right Coronary Artery Involvement  - American College of CardiologyAortitis with Ostial Right Coronary Artery Involvement - American College of Cardiology

Aortitis with Ostial Right Coronary Artery Involvement Apr 15, 2015 ACC News Story. Share via: ... Aortitis, Aspirin, Blood Pressure, Blood Sedimentation, Coronary Angiography, Coronary Artery Bypass, Coronary Stenosis, ... YOU ARE HERE: Home , Latest in Cardiology , Aortitis with Ostial Right Coronary Artery Involvement ... consistent with aortitis. Exercise stress echocardiogram shows normal ventricular function but is non-diagnostic for ischemia ...
more infohttps://www.acc.org/latest-in-cardiology/articles/2015/04/14/15/22/aortitis-with-ostial-right-coronary-artery-involvement

THE EARLY DEVELOPMENT OF SYPHILITIC AORTITIS* | Annals of Internal Medicine | American College of PhysiciansTHE EARLY DEVELOPMENT OF SYPHILITIC AORTITIS* | Annals of Internal Medicine | American College of Physicians

Syphilitic Aortitis in Retrospect12 Annals of Internal Medicine; 5 (3): 294-306 ... THE EARLY DEVELOPMENT OF SYPHILITIC AORTITIS1 FRANK S. HOUSER, M.D.; EDWARD M. KLINE, M.D., F.A.C.P. ... A Diagnostic Triad in Syphilitic Aortitis12 Annals of Internal Medicine; 5 (1): 29-39 ... THE APPARENT INCREASE IN THE INCIDENCE OF SYPHILITIC AORTITIS. Annals of Internal Medicine; 3 (9): 943-946 ...
more infohttp://annals.org/aim/article-abstract/673695/early-development-syphilitic-aortitis

A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular InterventionA Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular Intervention

C. W. Seder, M. Kramer, G. Long, M. R. Uzieblo, C. J. Shanley, and P. Bove, "Clostridium septicum aortitis: report of two cases ... A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular Intervention. Ciel ... M. Granier, A. Granier, J. Fraga, and R. Durant, "Emphysematous infectious aortitis: a dramatic evolution," European Heart ...
more infohttps://www.hindawi.com/journals/crivam/2017/4984325/ref/

Rheumatology Case Report: Immune-Related Aortitis Associated with Ipilimumab - The RheumatologistRheumatology Case Report: Immune-Related Aortitis Associated with Ipilimumab - The Rheumatologist

Rheumatology Case Report: Immune-Related Aortitis Associated with Ipilimumab. Rheumatology Case Report: Immune-Related Aortitis ... Filed Under: Conditions Tagged With: adverse event, aortitis, case report, Clinical, Corticosteroid, drug, Immunology, ... Here, we report a case of immune-related aortitis caused by ipilimumab and successful management with systemic corticosteroid ... She was started on prednisone 1 mg/kg daily for immune-related aortitis related to ipilimumab. ...
more infohttps://www.the-rheumatologist.org/article/rheumatology-case-report-immune-related-aortitis-associated-ipilimumab/

A Successful Case of Endovascular Treatment with Occlusion Stent Graft for Aortic Aneurysm Associated with Aortitis SyndromeA Successful Case of Endovascular Treatment with Occlusion Stent Graft for Aortic Aneurysm Associated with Aortitis Syndrome

... ... At age 41, aortitis syndrome was diagnosed, with descending thoracic aortic aneurysm and the coarctation of abdominal aorta by ... Today, in most cases of aortopathy associated with aortitis syndrome, surgical replacement of the aneurysms and extra- ...
more infohttp://square.umin.ac.jp/jscvs/eng/journal/vol38-4/266.html

Role of FDG-PET/CT in diagnosis of aortitis caused by Takayasu arteritis and IgG4-related systemic disease | HeartRole of FDG-PET/CT in diagnosis of aortitis caused by Takayasu arteritis and IgG4-related systemic disease | Heart

To the Editor We read with great interest the recent article by Rahman et al 1 on the diagnosis of aortitis in fever of unknown ... Role of FDG-PET/CT in diagnosis of aortitis caused by Takayasu arteritis and IgG4-related systemic disease ... Role of FDG-PET/CT in diagnosis of aortitis caused by Takayasu arteritis and IgG4-related systemic disease ... Role of FDG-PET/CT in diagnosis of aortitis caused by Takayasu arteritis and IgG4-related systemic disease ...
more infohttps://heart.bmj.com/content/99/24/1876.1

A Case of Early Progressive Aortic Valve Regurgitation after Coronary Artery Bypass Grafting in Aortitis Patient with Negative...A Case of Early Progressive Aortic Valve Regurgitation after Coronary Artery Bypass Grafting in Aortitis Patient with Negative...

A Case of Early Progressive Aortic Valve Regurgitation after Coronary Artery Bypass Grafting in Aortitis Patient with Negative ... Aortitis syndrome was suspected because of the stenosis of the brachiocephalic artery in addition to the bilateral coronary ... We report the case of a 55-year-old woman with aortitis syndrome. She was admitted to our hospital because of repeated chest ...
more infohttp://square.umin.ac.jp/jscvs/eng/journal/vol41-5/238.html

Strategies to treat thoracic aortitis and infected aortic grafts - The Journal of Cardiovascular Surgery 2015 April;56(2):269...Strategies to treat thoracic aortitis and infected aortic grafts - The Journal of Cardiovascular Surgery 2015 April;56(2):269...

Infectious thoracic aortitis is a rare disease, especially since the incidence of syphilis and tuberculosis has dropped in ... Kahlberg A, Melissano G, Tshomba Y, Leopardi M, Chiesa R. Strategies to treat thoracic aortitis and infected aortic grafts. J ... Strategies to treat thoracic aortitis and infected aortic grafts. Kahlberg A., Melissano G., Tshomba Y., Leopardi M., Chiesa R ... In this manuscript, we review the literature regarding the main issues related to thoracic infectious aortitis and aortic graft ...
more infohttps://www.minervamedica.it/it/riviste/cardiovascular-surgery/articolo.php?cod=R37Y2015N02A0269

Giant Cell Arteritis with or without Aortitis at Diagnosis. A Retrospective Study of 22 Patients with Longterm Followup | The...Giant Cell Arteritis with or without Aortitis at Diagnosis. A Retrospective Study of 22 Patients with Longterm Followup | The...

Giant Cell Arteritis with or without Aortitis at Diagnosis. A Retrospective Study of 22 Patients with Longterm Followup. ... Giant Cell Arteritis with or without Aortitis at Diagnosis. A Retrospective Study of 22 Patients with Longterm Followup ... Giant Cell Arteritis with or without Aortitis at Diagnosis. A Retrospective Study of 22 Patients with Longterm Followup ... Giant Cell Arteritis with or without Aortitis at Diagnosis. A Retrospective Study of 22 Patients with Longterm Followup ...
more infohttp://www.jrheum.org/content/early/2012/09/12/jrheum.120511.tab-e-letters

Multimodality Imaging of Aortitis | JACC: Cardiovascular ImagingMultimodality Imaging of Aortitis | JACC: Cardiovascular Imaging

Both syphilitic and tuberculous aortitis may mimic Takayasu aortitis; syphilitic aortitis may demonstrate a characteristic " ... CTA of Infectious Aortitis. Axial slice in a patient with nocardia aortitis post-coronary bypass grafting demonstrates a large ... The classification of aortitis and clinical findings of conditions frequently associated with aortitis can be found in Tables 1 ... Differentiation of Aortitis From Intramural Hematoma. Aortitis on (A) noncontrast computed tomography (CT) demonstrating low ...
more infohttp://www.imaging.onlinejacc.org/content/7/6/605

Tuberculous aortitis, a case reportTuberculous aortitis, a case report

You are in: Home » Angiologia e Cirurgia Vascular » Tuberculous aortitis, a case report ... Tuberculous aortitis is a rare entity first described by Weigert in 1882. ... of surgical treatment and long duration tuberculostatic therapy is the best treatment option for tuberculous aortitis. ...
more infohttp://elsevier.pt/en/revistas/angiologia-e-cirurgia-vascular-388/artigo-resumo/tuberculous-aortitis-case-report-S1646706X15000713

Aortitis: Differential DiagnosisAortitis: Differential Diagnosis

Aortitis and valvulitis seen in ~10% of patients. *Isolated aortitis: Isolated idiopathic (thoracic) aortitis, Chronic ... Aortitis: Differential Diagnosis Aortitis, the inflammation of the aortic wall, can be due to infectious or noninfectious ... Aortitis. Circulation. 2008 Jun 10;117(23):3039-51. *Restrepo CS, Ocazionez D, Suri R, Vargas D. Aortitis: imaging spectrum of ... Rheumatoid arthritis: Aortitis is rare. Heart, aortic valve, and great vessels can be affected. *Systemic lupus erythematosus: ...
more infohttps://roentgenrayreader.blogspot.com/2011/12/aortitis-differential-diagnosis.html

COARCTATION OF AORTA-ULCERATIVE AORTITIS-PERFORATION OF AORTA AND ACUTE PERICARDITIS | JAMA Pediatrics | JAMA NetworkCOARCTATION OF AORTA-ULCERATIVE AORTITIS-PERFORATION OF AORTA AND ACUTE PERICARDITIS | JAMA Pediatrics | JAMA Network

COARCTATION OF AORTA-ULCERATIVE AORTITIS-PERFORATION OF AORTA AND ACUTE PERICARDITIS. FREDERICK C. NARR, M.D.; EMSLEY T. ... COARCTATION OF AORTA-ULCERATIVE AORTITIS-PERFORATION OF AORTA AND ACUTE PERICARDITIS. Am J Dis Child. 1934;47(1):91-96. doi: ...
more infohttps://jamanetwork.com/journals/jamapediatrics/article-abstract/1176487

Aortitis and uveitis. A challenging case of Takayasu or Behcet disease? | Pediatric Rheumatology | Full TextAortitis and uveitis. A challenging case of Takayasu or Behcet disease? | Pediatric Rheumatology | Full Text

B. is a ten years old boy born in Columbia. At the age of nine, he presented fever that lasted for about 1 month. In the suspect of Kawasaki disease, he was administered Immunoglobulin, without resolution, that persisted until administration of intravenous steroid. His clinical conditions were characterized by asthenia, arthralgia and photophobia. He also presented a heart murmur of 2/6 at centrum cordis. He presented high inflammatory markers, HLA-B51 positivity and proteinuria. Chest radiography, abdomen ultrasound, brain MRI, lumbar puncture and cardiac ultrasound were negative. Instead total body PET and MRI showed inflammation of aortic arch and signs of previous pericarditis. The eye examination showed panuveitis with retinitis. The therapy administered was based on sistemic and ocular steroids and on mycophenolate mofetil with benefit. Table 1. ...
more infohttps://ped-rheum.biomedcentral.com/articles/10.1186/1546-0096-12-S1-P354

A Case of Clostridium septicum Aortitis With Concomitant Adenocarcinoma of the Cecum | ACG Case Reports Journal - An online...A Case of Clostridium septicum Aortitis With Concomitant Adenocarcinoma of the Cecum | ACG Case Reports Journal - An online...

Clostridium septicum aortitis: Report of two cases and review of the literature. J Vasc Surg. 2009;49(5):1304-9. Article , ... Clostridium septicum aortitis is a rare infection that is strongly associated with underlying adenocarcinoma of the colon. We ... Our case supports the strong association of C. septicum aortitis and gastrointestinal malignancy. C. septicum in the setting of ... A Case of Clostridium septicum Aortitis With Concomitant Adenocarcinoma of the Cecum. ...
more infohttp://acgcasereports.gi.org/a-case-of-clostridium-septicum-aortitis-with-concomitant-adenocarcinoma-of-the-cecum/

Cialis Commercial Script - probably saw it fairly early although he must have had his aortitisCialis Commercial Script - probably saw it fairly early although he must have had his aortitis

Consiglio nazionale commercialisti antiriciclaggio: induced the exhaustion. we know that in many people at this time of. cialis 20mg online kaufen days after the acute symptoms have disappeared. the length of time
more infohttp://www.healthybaking.org/cialis-commercial-script.html

International Cardiovascular Research Journal - Fatal aortitis: a complication of aspergillus endocarditis following coronary...International Cardiovascular Research Journal - Fatal aortitis: a complication of aspergillus endocarditis following coronary...

Fatal aortitis: a complication of aspergillus endocarditis following coronary artery bypass graft surgery Maryam Esmaeilzadeh 1 ... To Cite: Esmaeilzadeh M , Peighambari M, Parsaee M , Khamooshi A , Hosseini S . Fatal aortitis: a complication of aspergillus ...
more infohttp://ircrj.com/en/articles/79526.html

Abdomen and retroperitoneum | 1.9 Retroperitoneum and great vessels : Case 1.9.7 Retroperitoneal fibrosis and aortitis |...Abdomen and retroperitoneum | 1.9 Retroperitoneum and great vessels : Case 1.9.7 Retroperitoneal fibrosis and aortitis |...

listLocation":"abdomen-and-retroperitoneum","icon":"001-abdomen-white.svg","header":"Abdomen and retroperitoneum"},{"listLocation":"urinary-tract-and-male-reproductive-system","icon":"002-urinary-tract-white.svg","header":"Urinary Tract and male reproductive system"},{"listLocation":"gynaecology","icon":"003-gynaecology-white.svg","header":"Gynaecology"},{"listLocation":"head-and-neck","icon":"004-head-neck-white.svg","header":"Head and Neck"},{"listLocation":"breast-and-axilla","icon":"005-breast-white.svg","header":"Breast and Axilla"},{"listLocation":"musculo-skeletal-joints-and-tendons","icon":"006-msk-joints-white.svg","header":"Musculoskeletal Joints and Tendons"},{"listLocation":"musculo-skeletal-bone-muscle-nerves-and-other-soft-tissues","icon":"007-msk-bones-white.svg","header":"Musculoskeletal, bone, muscle, nerves and other soft ...
more infohttps://www.ultrasoundcases.info/inflammatory-aortic-aneurysm-3956/
  • Not uncommonly, aortitis is an unsuspected finding in patients being evaluated for unexplained fever or chest, abdominal, or back pain. (onlinejacc.org)
  • Today, in most cases of aortopathy associated with aortitis syndrome, surgical replacement of the aneurysms and extra-anatomical bypass is performed. (umin.ac.jp)
  • There is significant overlap of imaging characteristics among aortitis etiologies, and the importance of integrating the entire clinical picture with imaging findings cannot be overstated. (onlinejacc.org)
  • Imaging of aortitis may be useful for screening, routine follow up, and evaluation of treatment response in certain clinical settings. (onlinejacc.org)
  • In this review, we discuss the available imaging modalities for diagnosis and management of the spectrum of aortitis disorders that cardiovascular physicians should be familiar with for facilitating optimal patient care. (onlinejacc.org)
  • Tuberculous aortitis is a rare entity first described by Weigert in 1882. (elsevier.pt)
  • The combination of surgical treatment and long duration tuberculostatic therapy is the best treatment option for tuberculous aortitis. (elsevier.pt)
  • Aortitis tends to affect individuals who are older than 60, and affects women more often than men. (rarediseasesnetwork.org)
  • Treatment of aortitis depends on the underlying cause. (wikipedia.org)
  • What is the treatment for aortitis? (rarediseasesnetwork.org)
  • Indeed, it is not known at this time whether aortitis needs to be treated, and if so what the treatment should be and how long it should be continued. (rarediseasesnetwork.org)