Aortitis masquerading as intramural hematoma: When to observe, when to operate? A case report
| Autor: | Eric Etchill, Stefano Schena, Ana K. Velez, Marc K. Halushka |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Chest discomfort business.industry Radiography Disease progression Disease 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine Hematoma 030228 respiratory system Intramural hematoma cardiovascular system medicine Etiology Surgery Radiology Presentation (obstetrics) Cardiology and Cardiovascular Medicine business Aortitis |
| Zdroj: | Journal of Cardiac Surgery. 36:1554-1556 |
| ISSN: | 1540-8191 0886-0440 |
| Popis: | Radiologic evidence of aortic disease is not always consistent with the diagnosis. With a lack of accompanying symptoms or with an atypical presentation, diagnosis, and management of aortic pathology rely greatly on imaging techniques. We report the case of a 58-year-old female who presented with incidental radiographic findings consistent with a type A aortic intramural hematoma and a vague left-sided chest discomfort. After follow-up, imaging was consistent with disease progression and hematoma expansion; the affected segment was resected and pathology reported lymphoplasmacytic aortitis as the underlying etiology of the imaging findings rather than an intramural hematoma. The patient lacked symptoms or serology consistent with the rheumatologic disease, and the postoperative course was uneventful. The management of a suspected ascending intramural hematoma is controversial, especially when the patient presents with atypical signs and symptoms. Features of disease progression may warrant urgent surgical intervention. |
| Databáze: | OpenAIRE |
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