[True aneurysm of the ascending aorta in HIV disease].
A 31-year-old male who presented with a true aneurysm of the ascending aorta had for 5 years been seropositive for HIV-1 following intravenous drug abuse. Elective aneurysmectomy was refused. Controls by computerized tomography and echocardiography gave evidence of a progressive dilatation during the following 8 months. In February 1992 a further increase of the aneurysm with severe thoracic pain necessitated an emergency graft implantation. Histopathology of the resected aorta revealed a granulomatous giant cell mesaortitis. The postoperative course was uneventful and the patient remained free of cardiovascular symptoms, but died 25 months later due to multiple HIV-associated opportunistic infections. The differential diagnosis (Marfan's syndrome, vasculitis due to tuberculosis, syphilis and other infectious agents, rheumatological diseases, HIV-associated vasculitis) and the etiopathological considerations are discussed.
Medizinische Klinik A, Kantonsspital St. Gallen.
K
K
Boggian
H J
HJ
Leu
J
J
Schneider
M
M
Turina
D
D
Oertle
D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001025:Aortitis / Q000150:complications; D001807:Blood Vessel Prosthesis; D003937:Diagnosis, Differential; D004452:Echocardiography; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
Aneurysma verum der Aorta ascendens im Rahmen einer HIV-Krankheit.