Aortitis requiring aortic repair associated with glaucoma, thyroiditis, glaucoma, and neuropathy: case report.

Abstract

Aortitis may be due to infectious and non-infectious causes. We observed aortitis, associated with glaucoma, thyroiditis, pericarditis, pleural effusion and neuropathy in a 63-years old woman. Despite antibiotic therapy, inflammatory signs persisted and resolved only after initiation of glucocorticoid therapy. Increasing aortic ectasia necessitated resection of the ascending aorta and implantation of a Vascutek 30 mm prosthesis. Histologically a granulomatous aortitis was diagnosed. Since all other possible causes were excluded, an immunological mechanism of the aortitis is suspected and possible triggering factors are discussed.

• Authors: Claudia Stöllberger, Marion Avanzini, Aileen Hanafin, Ramona Sanani, Georg Wieselthaler, Nikolaus Wick, Günther Bayer, Günther Mölzer, Josef Finsterer
• Journal: Journal of cardiothoracic surgery (J Cardiothorac Surg) Vol. 6 Pg. 74 (May 16 2011) ISSN: 1749-8090 [Electronic] England
• PMID: 21575249 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Glucocorticoids

Topics

• Anti-Bacterial Agents (therapeutic use)
• Aortic Aneurysm, Thoracic (diagnosis, etiology, surgery)
• Aortitis (complications, diagnosis, therapy)
• Biopsy
• Diagnosis, Differential
• Female
• Follow-Up Studies
• Glaucoma (complications)
• Glucocorticoids (therapeutic use)
• Humans
• Middle Aged
• Polyneuropathies (complications)
• Thyroiditis (complications)
• Tomography, X-Ray Computed
• Vascular Surgical Procedures (methods)