[Isolated stenosing calcified lesions of the aorta].
Two cases of isolated calcified lesions of the aorta are reported. The first observation is that of a 25 years old man suffering from mild intermittent claudication predominant in the left leg. Radiological examination showed a calcified isolated lesion of the infra renal abdominal aorta. The patient underwent surgical treatment (thromboendarteriectomy) and was asymptomatic after 6 months. The second observation concerns a 30 years old man treated for benign thrombocytemia in whom a severe arterial hypertension associated with a thoracic bruit was discovered incidentally. Radiological workup demonstrated a solitary calcified lesion of the descending thoracic aorta. Endarteriectomy was performed and the patient was still asymtomatic at 12 months. A review of the literature as well as physiopathological hypothesis and diagnostic and therapeutic management of these uncommon lesions is proposed.
Sapoval
M
M
Service de Radiologie Cardio-Vasculaire, Hôpital Broussais, Paris.
Tsocanakis
O
O
Hoffman
O
O
Beyssen
B
B
Azencot
M
M
Julia
P
P
Gaux
J C
JC
D000328:Adult; D015901:Angiography, Digital Subtraction; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002114:Calcinosis / Q000175:diagnosis*; D003251:Constriction, Pathologic; D004691:Endarterectomy; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology*; D008297:Male