title: Impending rupture of the ascending aorta due to giant cell arteritis.
abstract: Giant cell arteritis may occasionally lead to vessel perforation without previous dissection. At the level of the ascending aorta, however, such an event has been reported only three times. We report a fourth case of impending rupture of the ascending aorta due to a small and isolated lesion of giant cell arteritis. In contrast to previous reports, laboratory and clinical manifestations suggestive of giant cell arteritis were absent in this case so that the diagnosis could only be established on histologic examination of the operative specimen.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital, Bern, Switzerland.
authors.forename: P
authors.initials: P
authors.lastname: Gersbach
authors.forename: H
authors.initials: H
authors.lastname: Läng
authors.forename: B
authors.initials: B
authors.lastname: Kipfer
authors.forename: R
authors.initials: R
authors.lastname: Meyer
authors.forename: P
authors.initials: P
authors.lastname: Schüpbach
mesh_terms: D001019:Aortic Rupture / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged