| Aortitis. | |
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MedLine Citation:
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PMID: 17484813 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Inflammatory or noninfectious aortitis may be idiopathic or it may be part of a systemic autoimmune disease, such as Takayasu's arteritis, Behçet's disease, or giant cell arteritis. At the acute stage, there is thickening of the aortic wall with dilatation of the aorta, more commonly in the thoracic aorta. If it involves the aortic root, there may be annuloaortic ectasia or aortic regurgitation. At a later stage, there may be aneurysmal dilatation of the aorta and rarely dissection or rupture of the aorta. In Takayasu's arteritis, stenosing lesions can occur as well as aneurysmal dilatation of the aorta or arteries. Stenosing lesions may be treated with angioplasty with or without stenting, whereas aneurysmal dilatation of the aorta is treated by aneurys-mectomy with arterial reconstruction or conduit. Severe aortic regurgitation may require aortic valve surgery with or without replacement of the ascending aorta. Irrespective of the interventional procedure undertaken as appropriate for the lesion, control of inflammation with steroid therapy with or without other immunosuppressive agents is of paramount importance. Otherwise, prosthetic valve or graft dehiscence may occur after aortic surgery, and restenosis rate is also higher after percutaneous transluminal angioplasty or stenting. |
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Authors:
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Elaine M C Chau |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Current treatment options in cardiovascular medicine Volume: 9 ISSN: 1092-8464 ISO Abbreviation: Curr Treat Options Cardiovasc Med Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-05-08 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9815942 Medline TA: Curr Treat Options Cardiovasc Med Country: United States |
Other Details:
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Languages: eng Pagination: 109-14 Citation Subset: - |
Affiliation:
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Department of Cardiology, Grantham Hospital, 125 Wong Chuk Hang Road, Hong Kong. echau@hkucc.hku.hk. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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