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A Case of Idiopathic Aortitis Mimicking Severe Aortic Stenosis

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초록

Aortitis is the all-encompassing pathological term ascribed to inflammation of the aorta. Regardless of the etiology, it frequently results in aortic root dilatation and aortic insufficiency rather than aortic stenosis. The rare case of aortitis such as isolated idiopathic aortitis may occur without evidence of systenic inflammatory disease or infection, and usually has subclinical nature. Even though the goals of therapy include immediate treatment of aortic inflammation or infection, the optimal management of isolated idiopathic aortitis is uncertain. We report a rare case of isolated idiopathic aortitis mimicking acute severe aortic stenosis, which was improved after steroid therapy.

Abstract

Aortitis is the all-encompassing pathological term ascribed to inflammation of the aorta. Regardless of the etiology, it frequently results in aortic root dilatation and aortic insufficiency rather than aortic stenosis. The rare case of aortitis such as isolated idiopathic aortitis may occur without evidence of systenic inflammatory disease or infection, and usually has subclinical nature. Even though the goals of therapy include immediate treatment of aortic inflammation or infection, the optimal management of isolated idiopathic aortitis is uncertain. We report a rare case of isolated idiopathic aortitis mimicking acute severe aortic stenosis, which was improved after steroid therapy.

참고문헌 (10)

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  5. Poppas A, "Echocardiographic findings and cardiac surgical implications of aortitis and valvulitis in Behçet’s Disease", J Am Soc Echocardiogr, 22, pp.1275~1278 (2009)
  6. Beg A, "Subclinical valvulitis in children with acute rheumatic Fever", Pediatr Cardiol, 29, pp.619~623 (2008)
  7. Soto ME, "Echocardiographic follow-up of patients with Takayasu’s arteritis: five-year survival", Echocardiography, 23, pp.353~360 (2006)
  8. Tsui KL, "Behçet’s aortitis and aortic regurgitation: a report of two cases", J Am Soc Echocardiogr, 17, pp.83~86 (2004)
  9. Kobayashi Y, "Aortic wall inflammation due to Takayasu arteritis imaged with 18F-FDG PET coregistered with enhanced CT", J Nucl Med, 46, pp.917~922 (2005)
  10. Kerr GS, "Takayasu arteritis", Ann Intern Med, 120, pp.919~929 (1994)

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