title: [Ascending aortic aneurysm following aortic valve replacement due to aortitis syndrome; report of a case].
abstract: A 60-year-old woman had previously undergone aortic valve replacement for aortic regurgitation. As the aortic wall was elastic hard, inflammatory change was suspected; therefore, we undertook a partial biopsy of the ascending aortic wall and the intraoperative pathological specimens were compatible with aortitis syndrome. As there was no active inflammatory change, she was diagnosed as inactive aortitis syndrome and steroid therapy was not applied. Seven years later, a follow-up computed tomography (CT) showed an ascending aortic aneurysm of 65 mm in diameter. Aortic root replacement was planned based on a clinical diagnosis of an aneurysm of the ascending aorta. The patient was discharged without complication 21 days after surgery. It is possible that an inactive stage of aortitis may lead to late dilatation of the ascending aorta; therefore, careful postoperative follow-up is necessary in such cases.
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical School, Shimotsuke, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Taguchi
authors.forename: H
authors.initials: H
authors.lastname: Konishi
authors.forename: T
authors.initials: T
authors.lastname: Shinohara
authors.forename: K
authors.initials: K
authors.lastname: Aizawa
authors.forename: H
authors.initials: H
authors.lastname: Takahashi
authors.forename: A
authors.initials: A
authors.lastname: Tateishi
authors.forename: Y
authors.initials: Y
authors.lastname: Sakano
authors.forename: Y
authors.initials: Y
authors.lastname: Kaminishi
authors.forename: S
authors.initials: S
authors.lastname: Ohki
authors.forename: T
authors.initials: T
authors.lastname: Saito
authors.forename: M
authors.initials: M
authors.lastname: Kawada
authors.forename: Y
authors.initials: Y
authors.lastname: Misawa
mesh_terms: D001011:Aorta / Q000473:pathology; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001015:Aortic Arch Syndromes / Q000150:complications*; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D004108:Dilatation, Pathologic; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D012086:Reoperation