Case of isolated thoracic aortic aneurysm as a manifestation of undiscovered giant cell arteritis.

Takuya Kishi, Takayuki Uchida, Tohru Yasutsune, Toshiro Iwai, Akihiko Izumo, Yoshihiro Ohishi, Masahumi Ohya, Akira Yamada, Hiromi Ando, Shuichi Okamatsu

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 73-year-old woman was referred to our hospital to investigate dilatation of an aortic arch which had been detected by a chest roentgenogram and severe aortic valve regurgitation detected by echocardiography. On admission, a computed tomography scan of the chest showed a large fusiform ascending aortic aneurysm. She had not shown any symptoms such as headache or polymyalgia rheumatica and had no significant coronary atherosclerosis. She underwent aneurysmectomy and reconstruction of the ascending aorta using cardiopulmonary bypass without aortic valve replacement, and pathological examination of the aneurismal wall revealed giant cell arteritis (GCA). Preoperatively, she did not have any temporal pain, and no signs of inflammation were detected serologically. Postoperatively, aortic valve regurgitation improved and she did well. However, three months after the surgery, she died suddenly due to the rupture or dissection of aorta. In the Japanese population, GCA is reportedly a rare cause of aortic aneurysm. However, retrospective studies show that GCA affects the aorta and that thoracic aortic aneurysm is a possible complication of GCA. In cases of the thoracic aortic aneurysms with unknown etiology, there is a possibility that GCA is the cause of the aortic aneurysm.

Original languageEnglish
Pages (from-to)358-365
Number of pages8
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume97
Issue number12
Publication statusPublished - Jan 1 2006

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Thoracic Aortic Aneurysm
Giant Cell Arteritis
Aortic Aneurysm
Aorta
Aortic Valve Insufficiency
Thorax
Polymyalgia Rheumatica
Cardiopulmonary Bypass
Thoracic Aorta
Aortic Valve
Headache
Echocardiography
Dissection
Coronary Artery Disease
Rupture
Dilatation
Retrospective Studies
Tomography
Inflammation
Pain

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Kishi, T., Uchida, T., Yasutsune, T., Iwai, T., Izumo, A., Ohishi, Y., ... Okamatsu, S. (2006). Case of isolated thoracic aortic aneurysm as a manifestation of undiscovered giant cell arteritis. Fukuoka igaku zasshi = Hukuoka acta medica, 97(12), 358-365.

Case of isolated thoracic aortic aneurysm as a manifestation of undiscovered giant cell arteritis. / Kishi, Takuya; Uchida, Takayuki; Yasutsune, Tohru; Iwai, Toshiro; Izumo, Akihiko; Ohishi, Yoshihiro; Ohya, Masahumi; Yamada, Akira; Ando, Hiromi; Okamatsu, Shuichi.

In: Fukuoka igaku zasshi = Hukuoka acta medica, Vol. 97, No. 12, 01.01.2006, p. 358-365.

Research output: Contribution to journalArticle

Kishi, T, Uchida, T, Yasutsune, T, Iwai, T, Izumo, A, Ohishi, Y, Ohya, M, Yamada, A, Ando, H & Okamatsu, S 2006, 'Case of isolated thoracic aortic aneurysm as a manifestation of undiscovered giant cell arteritis.', Fukuoka igaku zasshi = Hukuoka acta medica, vol. 97, no. 12, pp. 358-365.
Kishi T, Uchida T, Yasutsune T, Iwai T, Izumo A, Ohishi Y et al. Case of isolated thoracic aortic aneurysm as a manifestation of undiscovered giant cell arteritis. Fukuoka igaku zasshi = Hukuoka acta medica. 2006 Jan 1;97(12):358-365.
Kishi, Takuya ; Uchida, Takayuki ; Yasutsune, Tohru ; Iwai, Toshiro ; Izumo, Akihiko ; Ohishi, Yoshihiro ; Ohya, Masahumi ; Yamada, Akira ; Ando, Hiromi ; Okamatsu, Shuichi. / Case of isolated thoracic aortic aneurysm as a manifestation of undiscovered giant cell arteritis. In: Fukuoka igaku zasshi = Hukuoka acta medica. 2006 ; Vol. 97, No. 12. pp. 358-365.
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