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Eur J Cardiothorac Surg 2001;19:214
© 2001 Elsevier Science NL


Images in cardio-thoracic surgery

Inflammatory aneurysm of the ascending aorta

Matthias Roth, Markus Schönburg, Wolf-Peter Klövekorn, Erwin Philipp Bauer

Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic Foundation, Benekestrasse 2–8, 61231 Bad Nauheim, Germany

Received 24 October 2000; received in revised form 28 November 2000; accepted 29 November 2000.

Corresponding author. Tel.:+49-60-3299-6502; fax: +49-60-3299-6567
e-mail: mattias.roth{at}kerckhoff.med.uni-giessen.de

A 55-year old woman was admitted with an acute episode of chest pain. MRI imaging showed an aneurysm of the ascending aorta (5.4 cm in diameter) with intramural hemotoma suspicious of aortic dissection (Fig. 1). Surprisingly at operation an inflammatory aneurysm of the ascending aorta was found (Fig. 2). The aorta was replaced by a 30 mm dacron graft using CPB and hypothermic circulatory arrest. Pathologic examination revealed an inflammatory aneurysm with inflammatory infiltrates and minimal atherosclerosis. The patient is well 20 months after surgery. Additional MRI controls showed no progression of the disease.



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Fig. 1. Preoperative magnetic resonance imaging.

 


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Fig. 2. Intraoperative view of the ascending aorta.

 



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Idiopathic Inflammatory Aneurysm of the Ascending Aorta
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[Abstract] [Full Text] [PDF]


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