Cases reported "Aortitis"

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1/6. Redo Bentall operation for the aortitis syndrome.

    The aortitis syndrome is a chronic inflammatory arterial disease with an unknown etiology that may present as a variety of vascular lesions. The surgical treatment of aortitis syndrome is associated with many potential difficulties due to the inflammatory nature of the disease. A patient with the aortitis syndrome underwent the Bentall operation for annulo-aortic ectasia and aortic regurgitation 11 years prior to presentation. The operation was not performed during the active inflammatory phase. An anastomotic dehiscence required reoperation, which was performed with Piehler's method. In the aortitis syndrome, the exclusion technique, Carrel patch repair of the coronary arteries and pledgeted anastomoses should be performed for aortic root reconstruction.
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2/6. giant cell arteritis presenting with annuloaortic ectasia.

    Four cases of giant cell arteritis causing severe aortic regurgitation secondary to an aneurysm of the ascending aorta are described. In two cases, the nature of the aortic pathology could be suspected considering the past clinical evidence of temporal arteritis and/or polymyalgia rheumatica. In the two other cases, the cardiothoracic manifestations represented the onset of Horton disease.
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3/6. indium-111 imaging of an inflammatory abdominal aortic aneurysm.

    indium-111-labeled leukocyte scanning has been shown to be a highly sensitive and specific imaging modality in the detection of abscess formation. Leukocyte infiltration occurs in a variety of inflammatory states as well as some noninflammatory states, leading to false-positive results. We report a case of an inflammatory abdominal aortic aneurysm imaged by 111In. It is not clear whether the activity noted is due to the inflammatory nature of the aneurysm or to hemorrhage present within the wall of the aneurysm.
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4/6. An unusual presentation of salmonellal aortitis.

    Our patient represents what we believe to be the first documented case of salmonella choleraesuis aortitis presenting as a salmonellal empyema in an elderly diabetic man. Although S choleraesuis often causes septicemia, its absence should not lead one to forget the pathogenic nature of and high mortality associated with this organism. Aggressive efforts must be made to search for endovascular infection, because cures can be achieved only with surgical intervention and prolonged antibiotic therapy.
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5/6. Ruptured inflammatory abdominal aortic aneurysm due to acute myelomonoblastic leukemia.

    The extremely rare case of ruptured abdominal aortic aneurysm of inflammatory nature in patient with discovered acute myelomonoblastic leukemia is presented. The difficult problems arising from these, frequently terminal diseases, are discussed.
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6/6. Postinflammatory elastolysis and cutis laxa: report of a case with aortitis.

    A 17-month-old black female manifested an acute febrile dermatosis followed by the development of cutis laxa and aortitis. The neutrophilic, acute inflammatory nature of the disease is emphasized. Pathologically, both the skin and the aorta were affected by a lesional process that shared common morphologic attributes and resulted in extensive elastolysis. However, the disease appears to differ from other entities characterized by generalized degradation of elastic fibers.
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