Thickness of the aortic wall. Multimaging utility in differential dignosis

Authors

  • Carla Leticia Pessio Las Lomas Sanatorium, Buenos Aires, Argentina
  • Ivan Constantin Las Lomas Sanatorium, Buenos Aires, Argentina
  • Maria Celeste Carrero Las Lomas Sanatorium, Buenos Aires, Argentina
  • Luciano de Stefano Las Lomas Sanatorium, Buenos Aires, Argentina
  • Pablo Stutzbach Las Lomas Sanatorium, Buenos Aires, Argentina

DOI:

https://doi.org/10.37615/retic.v4n2a10

Keywords:

Giant cell arteritis, aortic pathology, cardiac thrombus., aortitis, aortic hematoma.

Abstract

A 68-year-old hypertensive female patient consulted for nonspecific chest discomfort with a normal electrocardiogram. The echocardiogram revealed aortic dilation with moderate aortic regurgitation and aortic wall thickening, without regional disorders of parietal motility. A transesophageal echocardiogram was performed, ruling out acute aortic syndrome. An angiotomography evaluation was done, suggesting an inflammatory process in the aorta and ruling out coronary involvement. For better tissue characterization of the aortic wall, gadolinium-enhanced MRI was requested, which was compatible with aortitis. The data from the clinical and laboratory history oriented the diagnosis to Giant Cell Arteritis, and treatment was started with good response.

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References

H. L. Gornik and M. A. Creager. Aortitis. Circulation 2008 Jun 10;117(23):3039-51. doi: https://doi.org/ DOI: https://doi.org/10.1161/CIRCULATIONAHA.107.760686

M. B. J. Syed, A. J. Fletcher, M. R. Dweck, R. Forsythe, and D. E. Newby. Imaging aortic wall inflammation.Trends Cardiovasc Med. 2019 Nov;29(8):440-448. doi: https://doi.org/10.1016/j.tcm.2018.12.003 DOI: https://doi.org/10.1016/j.tcm.2018.12.003

G. Slobodin et al. Aortic involvement in rheumatic diseases. Clin Exp Rheumatol Mar-Apr 2006;24(2 Suppl 41):S41-7.

J. C. Lee and Y. S. Wee. Imaging aortitis. Intern Med J 2019 Jan;49(1):136-137. doi: https://doi.org/10.1111/imj.1413 DOI: https://doi.org/10.1111/imj.14132

E. T. Bieging et al. In vivo three-dimensional MR wall shear stress estimation in ascending aortic dilatation. J Magn Reson Imaging 2011 Mar;33(3):589-97. doi: https://doi.org/10.1002/jmri.22485 DOI: https://doi.org/10.1002/jmri.22485

C. S. Restrepo, D. Ocazionez, R. Suri, and D. Vargas. Aortitis: imaging spectrum of the infectious and inflammatory conditions of the aorta. Radiographics Mar-Apr 2011;31(2):435-51. doi: https://doi.org/10.1148/rg.312105069 DOI: https://doi.org/10.1148/rg.312105069

A. Enfrein, O. Espitia, G. Bonnard, and C. Agard. Aortitis in giant cell arteritis: Diagnosis, prognosis and treatment. Presse Med 2019 Sep;48(9):956-967. doi: https://doi.org/10.1016/j.lpm.2019.04.018 DOI: https://doi.org/10.1016/j.lpm.2019.04.018

G. R. Hartlage et al. Multimodality imaging of aortitis. JACC Cardiovasc Imaging 2014 Jun;7(6):605-19. doi: https://doi.org/10.1016/j.jcmg.2014.04.002 DOI: https://doi.org/10.1016/j.jcmg.2014.04.002

Published

2021-08-31

How to Cite

1.
Pessio CL, Constantin I, Carrero MC, de Stefano L, Stutzbach P. Thickness of the aortic wall. Multimaging utility in differential dignosis. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2021 Aug. 31 [cited 2024 Jul. 3];4(2):36-9. Available from: https://imagenretic.org/RevEcocarPract/article/view/333