1/16. Intravalvular implantation technique for a modified Bentall's procedure in aortitis syndrome.Surgical treatments of aortic root involvement in aortitis syndrome are frequently complicated by valve detachment and pseudoaneurysmal formation during active inflammation. A 40-year-old woman with aortitis syndrome complicating the ascending aortic aneurysm, severe aortic regurgitation (AR), and left coronary ostial stenosis was successfully treated by aortic root replacement and concomitant coronary artery bypass grafting (CABG) during acute inflammation. We devised an intravalvular implantation between the fragile aortic annulus and Teflon felt to a modified Bentall's procedure, which prevented anastomotic leakage and pseudoaneurysmal formation in the late period.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
2/16. Paroxysmal hypertension in aortitis syndrome.Three patients with aortitis syndrome ehibited paroxysmal hypertension which seemed to result from baroreceptor dysfunction. All of the patients had signs of active inflammation of aortitis syndrome and stenotic carotid and subclavian arteries. During the attacks, the blood pressure rose to at least 230 mm. Hg systolic and the heart rate exceeded 100. However, with prolonged administration of steroid hormones, the attacks ceased. In two patients with dilated thoracic aortas and aortic regurgitation, the attacks of paroxysmal hypertension occurred without apparent precipitating factors and were followed by anginal pain with marked ST depression. The sympathicotonic state resulting from the disturbance of the baroreceptors was considered to be responsible for the attacks. In another patient, the attacks occurred in the course of treatment with a steroid hormone and were provoked only by voluntary micturition. This post-micturition hypertension was presumed to be an expression of abnormal overshooting following a fall in blood pressure after voiding.- - - - - - - - - - ranking = 0.5keywords = inflammation (Clic here for more details about this article) |
3/16. takayasu arteritis presenting as retinal and vertebrobasilar ischemia.A young woman presented with a 4-month history of retinal and vertebrobasilar ischemia. angiography demonstrated narrowing of major branches of the aortic arch. Intractable, severe retroorbital pain of the right eye developed after a middle cerebral artery stroke. During 4 weeks of aggressive immunosuppressive therapy including IV high dose bolus corticosteroids and pulse cyclophosphamide, her neurologic deficit improved transiently, but her retroorbital pain persisted. She died of staphylococcal sepsis and pneumonia. An autopsy demonstrated thrombotic or fibrous occlusion, with minimal inflammation, of extracranial arteries.- - - - - - - - - - ranking = 0.5keywords = inflammation (Clic here for more details about this article) |
4/16. Takayasu's arteritis associated with interstitial lung disease and glomerulonephritis.Takayasu's arteritis is a vasculitis characterized by inflammation and obliteration of large- and medium-sized arteries and has not been previously associated with interstitial pulmonary fibrosis. A patient with Takayasu's arteritis was shown to have interstitial pulmonary fibrosis and mesangial glomerulonephritis, suggesting a common antigenic stimulus that resulted in tissue injury.- - - - - - - - - - ranking = 0.5keywords = inflammation (Clic here for more details about this article) |
5/16. aortic valve replacement for acute Takayasu's disease.A patient with aortic insufficiency secondary to Takayasu's disease who was treated by aortic valve replacement during active aortic inflammation is described. The patient remains well 29 months postoperatively with minor additional treatment. A review of aortic insufficiency in Takayasu's disease is presented.- - - - - - - - - - ranking = 0.5keywords = inflammation (Clic here for more details about this article) |
6/16. Takayasu's arteritis diagnosed in a patient with long-standing arthralgias and arthritis.A 50-year-old woman had seronegative polyarthritis for three years, followed by vascular obstruction with classic Takayasu's arteritis. She responded symptomatically to high-dose steroid therapy and remains in long-term remission (joints and vasculature) after taper of medication. literature review documents this relationship of arthritis to vasculitis in this and other types of vascular inflammation.- - - - - - - - - - ranking = 0.5keywords = inflammation (Clic here for more details about this article) |
7/16. Cutaneous manifestations of Takayasu's arteritis. A clinicopathologic correlation.Takayasu's arteritis is a chronic, granulomatous, large-vessel arteriopathy of unknown cause. We retrospectively reviewed the medical records of 38 patients with Takayasu's arteritis and identified 21 with cutaneous findings. Seven patients had lesions that were related to their systemic vasculitis. We found a Churg-Strauss granuloma, a pyodermatous leg ulcer, and inflammatory leg nodules in these patients. biopsy specimens from three patients with presumed "erythema nodosum" did not support the clinical diagnosis but did show arteritis. In patients with Takayasu's arteritis, small-vessel inflammation, and other inflammatory lesions may be present, in addition to large-vessel disease. Histopathologic study is necessary to categorize the nature of inflammatory leg nodules of these patients.- - - - - - - - - - ranking = 0.5keywords = inflammation (Clic here for more details about this article) |
8/16. Clinicopathologic studies of a case of aortic arch syndrome.The clinicopathologic features of a 62-year-old woman with the aortic arch syndrome who presented with ischemic ocular inflammation, followed by complete loss of vision, is presented. The pathophysiology and ocular manifestations of chronic ocular ischemia are discussed.- - - - - - - - - - ranking = 0.5keywords = inflammation (Clic here for more details about this article) |
9/16. Takayasu's arteritis: reversal of pulse deficit after early treatment with corticosteroids.Takayasu's arteritis is a rare disease characterized by inflammation and stenosis of large arteries. The aortic arch and its branches are most often affected. Initial symptoms are nonspecific and the diagnosis may be delayed until signs of vascular insufficiency appear. Results of medical treatment have been conflicting. We report a case of a young woman with a short history of pulse deficits, high erythrocyte sedimentation rate, narrowing of the subclavian arteries on arteriography, and a complete return of pulses after high dose corticosteroids. Takayasu's arteritis is a treatable disease in its early phase, but treatment response may be disappointing after irreversible vascular lesions develop.- - - - - - - - - - ranking = 0.5keywords = inflammation (Clic here for more details about this article) |
10/16. Coronary artery aneurysm associated with aortitis syndrome diagnosed pre- and intraoperatively.Aneurysm of the coronary artery associated with aortitis syndrome is extremely rare. This is a case report of a left coronary artery aneurysm associated with aortitis syndrome. The patient was a 47-year-old woman who complained of palpitation and dizziness on exertion. Aortogram revealed occlusion of the arch vessels, infrarenal aortic stenosis, and a fusiform aneurysm of the left coronary artery. There was neither an intraluminal thrombus nor occlusive changes in the coronary arteries. Severe systolic hypertension nearing 300 mmHg was present in the ascending aorta. Severe hypertension and direct extension of inflammation to the coronary artery seemed to be important factors for the formation of the aneurysm. To resolve the severe hypertension, a bypass operation between the ascending aorta and the abdominal aorta distal to the stenosis was performed. The postoperative course was uneventful and blood pressure was reduced.- - - - - - - - - - ranking = 0.5keywords = inflammation (Clic here for more details about this article) |
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