| Endovascular repair of thoracic aortic aneurysm and intramural hematoma in giant cell arteritis. | |
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MedLine Citation:
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PMID: 12050304 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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An 80-year-old woman with established giant cell arteritis presented at the authors' institution with a 6.5-cm false aneurysm of the descending thoracic aorta complicated by focal dissection and intramural hematoma after a 1-week history of acute-onset chest pain. The patient underwent uncomplicated endovascular aortic repair with a 32-mm x 15-cm TagExcluder stent-graft. After the procedure, the intramural hematoma resolved and the patient's corticosteroid and immunosuppressive therapy was repeatedly adjusted. However, the giant cell arteritis activity relapsed after 8 months with development of a similar 1.5-cm false aneurysm below the thoracic stent-graft, complicated by focal intramural hematoma. Repeat uncomplicated thoracic stent-graft implantation was performed and CT follow-up displayed resorption of the intramural hematomas with no evidence of endoleak or any new aortic pathology. This report discusses the difficult management of patients with relapsing active aortic giant cell arteritis and the potential role for endovascular thoracic aortic repair. |
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Authors:
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Christoph Engelke; Caron Sandhu; Robert A Morgan; Anna-Maria Belli |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 13 ISSN: 1051-0443 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-06-06 Completed Date: 2002-11-26 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 625-9 Citation Subset: IM |
Affiliation:
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Department of Radiology, St. Georges Hospital, London, United Kingdom. cengelke@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aneurysm, False / radiography Angiography Aorta, Thoracic / radiography*, surgery* Aortic Aneurysm, Thoracic / radiography*, therapy* Female Giant Cell Arteritis / pathology* Hematoma / radiography*, therapy* Humans Recurrence Stents* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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