Thoracoabdominal Aortic Aneurysm Secondary to Aggressive Giant Cell Arteritis

Research output: Contribution to journalArticle

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 languageEnglish
JournalAnnals of Vascular Surgery
DOIs
Publication statusAccepted/In press - Jan 1 2019

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Thoracic Aortic Aneurysm
Giant Cell Arteritis
Arteries
Positron-Emission Tomography
Stents
Aneurysm
Hospital Emergency Service
Leg
Pathologic Constriction
Arm
Observation
Transplants
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

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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",
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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

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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.

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