Extensive thoracoabdominal aortic aneurysm as initial presentation in Takayasu arteritis: case series and literature review.

Autor:	Jena A; Department of Cardiology, Kalinga Institute of Medical Sciences, Campus 5, KIIT University, Patia, Bhubaneswar, India., Mishra S; Department of Cardiology, Kalinga Institute of Medical Sciences, Campus 5, KIIT University, Patia, Bhubaneswar, India., Padhee B; Department of Cardiology, Kalinga Institute of Medical Sciences, Campus 5, KIIT University, Patia, Bhubaneswar, India., Jena SK; Department of Cardiology, Kalinga Institute of Medical Sciences, Campus 5, KIIT University, Patia, Bhubaneswar, India., Ghosh N; Department of Cardiology, Kalinga Institute of Medical Sciences, Campus 5, KIIT University, Patia, Bhubaneswar, India., Padhan P; Department of Immunology, Kalinga Institute of Medical Sciences, KIIT University, Patia, Bhubaneswar, India., Rout NK; Department of Nephrology, Kalinga Institute of Medical Sciences, KIIT University, Patia, Bhubaneswar, India., Sahoo P; Department of Cardiology, Kalinga Institute of Medical Sciences, Campus 5, KIIT University, Patia, Bhubaneswar, India.
Jazyk:	angličtina
Zdroj:	European heart journal. Case reports [Eur Heart J Case Rep] 2023 Dec 18; Vol. 8 (1), pp. ytad627. Date of Electronic Publication: 2023 Dec 18 (Print Publication: 2024).
DOI:	10.1093/ehjcr/ytad627
Abstrakt:	Background: Aortic aneurysm as a presenting feature in Takayasu's arteritis is very rare. Here, we report three cases of extensive thoracoabdominal aortic aneurysm in Takayasu's arteritis as initial presentation. Case Summary: All three cases were males and presented with complaints of abdominal pain and refractory hypertension. The diagnosis was made from the finding of thickened and calcified aortic wall, stenosis of visceral arteries, and age < 40 years at diagnosis. Case 1 was a 34 years male with aortic aneurysm extending from left subclavian artery to infrarenal aorta. He underwent endovascular repair of aneurysm by sandwich chimney technique in view of impending aneurysm rupture. Case 2, a 37 years male had aortic aneurysm from descending thoracic aorta (D4 vertebral body) to infrarenal aorta (L4 level). While being evaluated for repair, he had sudden death probably due to ruptured aneurysm. Case three, a 40 years male had aortic aneurysm extending from left subclavian artery to aortic bifurcation and stenosis of visceral arteries. He did not consent for repair and died one year later due to chronic kidney disease and related complications. Discussion: Thoracoabdominal aortic aneurysm is a very rare manifestation in Takayasu's arteritis; more common in males. Endovascular repair is challenging but feasible. Long-term monitoring and repeat intervention may be needed due to young age of patients and disease progression. Competing Interests: Conflict of interest: None declared. (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.)
Databáze:	MEDLINE
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