Back to Search
Start Over
Takayasu's arteritis mimicking aortic intramural hematoma in a female patient with chest pain.
- Source :
-
Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese [Hellenic J Cardiol] 2008 Jul-Aug; Vol. 49 (4), pp. 280-3. - Publication Year :
- 2008
-
Abstract
- We report the case of a young female patient who presented with chest pain, having a background of systemic complaints and a history of essential thrombocytosis. Transesophageal echocardiography (TEE) was suggestive of an intramural hematoma of the distal ascending aorta and transverse arch, confirming computed tomography findings. However, surgery revealed only diffuse aortic wall thickening without hematoma or dissection, despite an epiaortic ultrasonogram corroborating the TEE findings. Histopathology demonstrated inflammation involving all layers of the aortic wall, with intimal fibrosis, disrupted elastic fibers in the media, and marked fibrous thickening of the adventitia with multiple necrobiotic foci; the latter were apparently the cause of the markedly hypodense region mimicking intramural hematoma on imaging. The findings were consistent with Takayasu's arteritis, a large vessel vasculitis of unknown etiology that predominantly affects females.
- Subjects :
- Acute Disease
Adult
Aorta pathology
Echocardiography, Transesophageal
Female
Humans
Takayasu Arteritis complications
Takayasu Arteritis diagnostic imaging
Takayasu Arteritis pathology
Tunica Intima pathology
Tunica Media pathology
Aortic Diseases diagnosis
Chest Pain etiology
Hematoma diagnosis
Takayasu Arteritis diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1109-9666
- Volume :
- 49
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese
- Publication Type :
- Academic Journal
- Accession number :
- 18935716