title: Abdominal aortic aneurysm with arteritis in ankylosing spondylitis.
abstract: Abdominal aortic aneurysm with arteritis in ankylosing spondylitis is described. An abdominal aortic aneurysm, 48-mm in diameter, in a 68-year-old woman with HLA-B27-associated ankylosing spondylitis was successfully replaced with a tube graft. The suture lines of the aortic wall were reinforced with Teflon felt strips. Pathologic examination of the aneurysmal wall revealed hyalinization of the connective tissue, with numerous lymphocytic infiltrates, remarkable calcification, and no elastic fibers. The original structure of the arterial wall was not recognized. These findings are compatible with aortitis reported in ankylosing spondylitis.
authors.affiliation: Department of Surgery, Gifu University School of Medicine, Japan. h-takagi@cc.gifu-u.ac.jp
authors.forename: Hisato
authors.initials: H
authors.lastname: Takagi
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Mori
authors.forename: Yukio
authors.initials: Y
authors.lastname: Umeda
authors.forename: Yukiomi
authors.initials: Y
authors.lastname: Fukumoto
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kato
authors.forename: Kuniyasu
authors.initials: K
authors.lastname: Shimokawa
authors.forename: Hajime
authors.initials: H
authors.lastname: Hirose
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001707:Biopsy, Needle; D001807:Blood Vessel Prosthesis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007813:Laparotomy / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D013167:Spondylitis, Ankylosing / Q000150:complications* / Q000175:diagnosis; D013625:Takayasu Arteritis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome