Multiple isolated aneurysms in a case of "burned out" Takayasu aortitis.
Takayasu aortitis (TA) is a chronic inflammatory disease predominantly seen in young Asian women. The disease is idiopathic and largely affects the aorta and its major branches. The basic pathologic changes in TA are fibrosis and subsequent occlusion of the large arteries. TA is classically termed "pulseless" disease, with manifestations during the occlusive stage including limb ischemia, renovascular hypertension, and heart failure. Arterial dilation and aneurysm are largely unappreciated manifestations of TA, but they occur in as many as 32% of affected patients. We report chronic "burned out" TA in a 23-year-old Hispanic woman with isolated aneurysms of the descending thoracic aorta, abdominal aorta, and common iliac arteries, without occlusive disease.
Chieh
Janet J
JJ
University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Brevetti
Lucy S
LS
Scholz
Peter M
PM
Graham
Alan M
AM
Ciocca
Rocco G
RG
D000328:Adult; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis*; D005260:Female; D006801:Humans; D017543:Iliac Aneurysm / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D013625:Takayasu Arteritis / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed