Thoracoabdominal Aortic Aneurysm Secondary to Aggressive Giant Cell Arteritis

Antonio Bozzani; Francesca Bobbio Pallavicini; Vittorio Arici; Pietro Quaretti; Mauro Rossi; Giulia Ticozzelli; Franco Ragni

doi:10.1016/j.avsg.2019.06.003

Thoracoabdominal Aortic Aneurysm Secondary to Aggressive Giant Cell Arteritis

Antonio Bozzani, Francesca Bobbio Pallavicini, Vittorio Arici, Pietro Quaretti, Mauro Rossi, Giulia Ticozzelli, Franco Ragni

IRCCS Fondazione Policlinico San Matteo

Research output: Contribution to journal › Article

Abstract

Large artery stenosis of the arm or leg arteries or the cervical arteries has been described in giant cell arteritis (GCA); aortic involvement, nevertheless, is less frequent, even if imaging tools such as positron emission tomography (PET) computed tomography have increased the frequency in the observation of aortic involvement. A 56-year-old female with a medical history of GCA presented to our emergency department with an unruptured voluminous thoracoabdominal aortic aneurysm (TAAA). The fluorodeoxyglucose PET demonstrated the presence of high inflammatory activity. The patient underwent endovascular correction using a “sandwich technique.” The 3-month control CT scan shows complete aneurysm exclusion. In high risk for surgery patients with GCA, the endovascular treatment with parallel stent graft of TAAA is safe and feasible.

Original language	English
Journal	Annals of Vascular Surgery
DOIs	https://doi.org/10.1016/j.avsg.2019.06.003
Publication status	Accepted/In press - Jan 1 2019

Fingerprint

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

Cite this

Bozzani, A., Bobbio Pallavicini, F., Arici, V., Quaretti, P., Rossi, M., Ticozzelli, G., & Ragni, F. (Accepted/In press). Thoracoabdominal Aortic Aneurysm Secondary to Aggressive Giant Cell Arteritis. Annals of Vascular Surgery. https://doi.org/10.1016/j.avsg.2019.06.003

@article{03419b3c3e7141f7bfa081e3eeaf8b16,

title = "Thoracoabdominal Aortic Aneurysm Secondary to Aggressive Giant Cell Arteritis",

abstract = "Large artery stenosis of the arm or leg arteries or the cervical arteries has been described in giant cell arteritis (GCA); aortic involvement, nevertheless, is less frequent, even if imaging tools such as positron emission tomography (PET) computed tomography have increased the frequency in the observation of aortic involvement. A 56-year-old female with a medical history of GCA presented to our emergency department with an unruptured voluminous thoracoabdominal aortic aneurysm (TAAA). The fluorodeoxyglucose PET demonstrated the presence of high inflammatory activity. The patient underwent endovascular correction using a “sandwich technique.” The 3-month control CT scan shows complete aneurysm exclusion. In high risk for surgery patients with GCA, the endovascular treatment with parallel stent graft of TAAA is safe and feasible.",

author = "Antonio Bozzani and {Bobbio Pallavicini}, Francesca and Vittorio Arici and Pietro Quaretti and Mauro Rossi and Giulia Ticozzelli and Franco Ragni",

year = "2019",

month = jan

day = "1",

doi = "10.1016/j.avsg.2019.06.003",

language = "English",

journal = "Annals of Vascular Surgery",

issn = "0890-5096",

publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Thoracoabdominal Aortic Aneurysm Secondary to Aggressive Giant Cell Arteritis

AU - Bozzani, Antonio

AU - Bobbio Pallavicini, Francesca

AU - Arici, Vittorio

AU - Quaretti, Pietro

AU - Rossi, Mauro

AU - Ticozzelli, Giulia

AU - Ragni, Franco

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Large artery stenosis of the arm or leg arteries or the cervical arteries has been described in giant cell arteritis (GCA); aortic involvement, nevertheless, is less frequent, even if imaging tools such as positron emission tomography (PET) computed tomography have increased the frequency in the observation of aortic involvement. A 56-year-old female with a medical history of GCA presented to our emergency department with an unruptured voluminous thoracoabdominal aortic aneurysm (TAAA). The fluorodeoxyglucose PET demonstrated the presence of high inflammatory activity. The patient underwent endovascular correction using a “sandwich technique.” The 3-month control CT scan shows complete aneurysm exclusion. In high risk for surgery patients with GCA, the endovascular treatment with parallel stent graft of TAAA is safe and feasible.

AB - Large artery stenosis of the arm or leg arteries or the cervical arteries has been described in giant cell arteritis (GCA); aortic involvement, nevertheless, is less frequent, even if imaging tools such as positron emission tomography (PET) computed tomography have increased the frequency in the observation of aortic involvement. A 56-year-old female with a medical history of GCA presented to our emergency department with an unruptured voluminous thoracoabdominal aortic aneurysm (TAAA). The fluorodeoxyglucose PET demonstrated the presence of high inflammatory activity. The patient underwent endovascular correction using a “sandwich technique.” The 3-month control CT scan shows complete aneurysm exclusion. In high risk for surgery patients with GCA, the endovascular treatment with parallel stent graft of TAAA is safe and feasible.

UR - http://www.scopus.com/inward/record.url?scp=85071694924&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071694924&partnerID=8YFLogxK

U2 - 10.1016/j.avsg.2019.06.003

DO - 10.1016/j.avsg.2019.06.003

M3 - Article

C2 - 31394245

AN - SCOPUS:85071694924

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

SN - 0890-5096

ER -

Access to Document

10.1016/j.avsg.2019.06.003