[Aortic dissection and annulo-aortic ectasia complicating systemic lupus erythematousus; report of a case].
A 31-year-old man with systemic lupus erythematosus had received long term steroid therapy. He had no compliant, but magnetic resonance imaging showed aortic dissection and annulo-aortic ectasia. Echocardiogram showed severe aortic regurgitation. Therefore aortic root replacement was performed. A histological study of the aortic wall demonstrated myxomatous degeneration in the media. He recovered uneventfully, except for receiving continious hemodia filtration during 4 days after the operation
Okada
S
S
Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.
Kaneko
T
T
Ezure
M
M
Satoh
Y
Y
Hasegawa
Y
Y
Koike
N
N
Okonogi
S
S
Takihara
H
H
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D001021:Aortic Valve / Q000473:pathology* / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D003952:Diagnostic Imaging; D004108:Dilatation, Pathologic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male