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Eur J Cardiothorac Surg 2006;30:400-401
© 2006 Elsevier Science NL

Case report

Aortic root dilation secondary to giant cell aortitis in a human immunodeficiency virus-positive patient

Royal Brompton Hospital, Sydney Street, London, United Kingdom

Received 27 January 2006; received in revised form 29 March 2006; accepted 12 April 2006.

^_* Corresponding author. Address: Department of Cardiac Surgery, Royal Brompton Hospital, 2004 Sydney Street, London SW3 6NP, United Kingdom. Tel.: +44 20 7351 8530; fax: +44 20 7351 8530. (Email: j.pepper{at}rbht.nhs.uk).

HIV-associated vasculitis rarely involves the aorta. There is no well-established association of HIV and giant cell arteritis. We present the case of a 31-year-old HIV positive Indian woman who was referred to us with complaints of dyspnea and chest pain. Physical examination revealed a diastolic murmur in the aortic area and echocardiography showed a dilated aortic root causing severe aortic regurgitation. She was being adequately treated with anti-HIV therapy. She underwent aortic valve and root replacement and the histopathological findings of the aortic specimen showed giant cell arteritis.

Key Words: Aortic root dilation • HIV • Giant cell aortitis

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