title: [Aortitis and surgery].
abstract: Non-infectious aortitis are usually due to giant cell arteritis (temporal arteritis), Takayasu and Behçet's diseases. Aortitis should be suspected in the presence of aortic wall thickening or of aneurysm or occlusion of the aorta and its branches in the absence of characteristic cardiovascular risk factors. Surgery is required in case of severe damage. But the quiescence of the inflammatory disease must be obtained before endovascular or surgical treatment to prevent complications such as anastomotic false aneurysm or stent thrombosis, especially common in this disease. The frequency of aortic aneurysms (in particular of ascending aorta) in giant cell arteritis encourages its systematic screening, as well as regular monitoring of the entire aorta during the follow-up. Behçet's and Takayasu diseases require the greatest control of inflammation and the knowledge of some surgical tricks to avoid the risk of recurrence. The literature review shows that endovascular treatment could reduce perioperative morbidity but did not allow reducing long-term complications.
authors.affiliation: Service de chirurgie vasculaire, hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: julien.gaudric@aphp.fr.
authors.forename: J
authors.initials: J
authors.lastname: Gaudric
authors.affiliation: Service de chirurgie vasculaire, hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Dennery
authors.affiliation: Service de chirurgie vasculaire, hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Jouhannet
authors.affiliation: Service de chirurgie vasculaire, hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Kagan
authors.affiliation: Service de médecine interne et immunologie clinique, hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Saadoun
authors.affiliation: Service de chirurgie vasculaire, hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Chiche
authors.affiliation: Service de chirurgie vasculaire, hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Koskas
mesh_terms: D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery; D001025:Aortitis / Q000209:etiology / Q000601:surgery*; D001528:Behcet Syndrome / Q000150:complications / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D013700:Giant Cell Arteritis / Q000150:complications / Q000601:surgery; D006801:Humans; D013625:Takayasu Arteritis / Q000150:complications / Q000601:surgery
keywords: Aortite; Aortitis; Artérite gigantocellulaire; Behçet's disease; Chirurgie; Giant cell arteritis; Maladie de Behçet; Maladie de Horton; Maladie de Takayasu; Surgery; Takayasu disease; Temporal arteritis