Hybrid Repair for Mega-Aortic Syndrome due to Giant Cell Aortitis in a Heart Failure Patient

The present report describes a case of mega-aortic syndrome accompanied with severe aortic regurgitation in a 75-year-old man who underwent a two-stage hybrid repair. Intraoperative pathologic findings at the first repair, consisting of Bentall operation and total arch replacement with a Lupiae graf...

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Autores principales: Inoue, Takehiro, Fujii, Kosuke, Kino, Shigeo, Yukami, Shintaro, Miyashita, Naoya, Kitayama, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140156/
https://www.ncbi.nlm.nih.gov/pubmed/32273927
http://dx.doi.org/10.3400/avd.cr.19-00096
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author Inoue, Takehiro
Fujii, Kosuke
Kino, Shigeo
Yukami, Shintaro
Miyashita, Naoya
Kitayama, Hitoshi
author_facet Inoue, Takehiro
Fujii, Kosuke
Kino, Shigeo
Yukami, Shintaro
Miyashita, Naoya
Kitayama, Hitoshi
author_sort Inoue, Takehiro
collection PubMed
description The present report describes a case of mega-aortic syndrome accompanied with severe aortic regurgitation in a 75-year-old man who underwent a two-stage hybrid repair. Intraoperative pathologic findings at the first repair, consisting of Bentall operation and total arch replacement with a Lupiae graft, aided the identification of the giant cell aortitis. Despite complicating hemorrhagic stroke, steroid therapy was initiated and endovascular repair was subsequently completed. Over more than 2 years of follow-up, the patient continued steroid therapy and is doing well without any reintervention.
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spelling pubmed-71401562020-04-09 Hybrid Repair for Mega-Aortic Syndrome due to Giant Cell Aortitis in a Heart Failure Patient Inoue, Takehiro Fujii, Kosuke Kino, Shigeo Yukami, Shintaro Miyashita, Naoya Kitayama, Hitoshi Ann Vasc Dis Case Report The present report describes a case of mega-aortic syndrome accompanied with severe aortic regurgitation in a 75-year-old man who underwent a two-stage hybrid repair. Intraoperative pathologic findings at the first repair, consisting of Bentall operation and total arch replacement with a Lupiae graft, aided the identification of the giant cell aortitis. Despite complicating hemorrhagic stroke, steroid therapy was initiated and endovascular repair was subsequently completed. Over more than 2 years of follow-up, the patient continued steroid therapy and is doing well without any reintervention. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020-03-25 /pmc/articles/PMC7140156/ /pubmed/32273927 http://dx.doi.org/10.3400/avd.cr.19-00096 Text en Copyright © 2020 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2020 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Inoue, Takehiro
Fujii, Kosuke
Kino, Shigeo
Yukami, Shintaro
Miyashita, Naoya
Kitayama, Hitoshi
Hybrid Repair for Mega-Aortic Syndrome due to Giant Cell Aortitis in a Heart Failure Patient
title Hybrid Repair for Mega-Aortic Syndrome due to Giant Cell Aortitis in a Heart Failure Patient
title_full Hybrid Repair for Mega-Aortic Syndrome due to Giant Cell Aortitis in a Heart Failure Patient
title_fullStr Hybrid Repair for Mega-Aortic Syndrome due to Giant Cell Aortitis in a Heart Failure Patient
title_full_unstemmed Hybrid Repair for Mega-Aortic Syndrome due to Giant Cell Aortitis in a Heart Failure Patient
title_short Hybrid Repair for Mega-Aortic Syndrome due to Giant Cell Aortitis in a Heart Failure Patient
title_sort hybrid repair for mega-aortic syndrome due to giant cell aortitis in a heart failure patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140156/
https://www.ncbi.nlm.nih.gov/pubmed/32273927
http://dx.doi.org/10.3400/avd.cr.19-00096
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