Abstract
We report on a 49-year-old man who presented to the emergency department with progressive
angina. Echocardiography displayed severe aortic regurgitation and aortic valve thickening.
The suspected diagnosis was acute aortic syndrome. Cardiac computed tomography showed
circumferential thickening of the aortic wall and left main coronary artery ostial
stenosis. Histologic examination showed diffuse aortic inflammation. No damage of
any other organ or vascular structure was reported, and the final diagnosis was nonspecific
aortitis. Differential diagnosis, prognosis, and therapeutic strategies are discussed.
Résumé
Le rapport fait état d’un homme de 49 ans atteint d’angine évolutive qui s’est présenté
au service des urgences. L’échocardiographie a révélé une régurgitation aortique sévère
et un épaississement de la paroi de l’aorte. Un diagnostic de syndrome aortique aigu
a été évoqué. La tomodensitométrie cardiaque a mis en évidence un épaississement circonférentiel
de la paroi de l’aorte ainsi qu’une sténose ostiale de l’artère coronaire gauche principale.
L’examen histologique témoignait d’une inflammation diffuse de l’aorte. Selon ce qui
a été rapporté, aucune autre structure organique ou vasculaire n’était touchée. Un
diagnostic définitif d’aortite non spécifique a été posé. Le diagnostic différentiel,
le pronostic et les stratégies thérapeutiques sont abordés.
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References
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Article info
Publication history
Published online: April 18, 2016
Accepted:
April 12,
2016
Received:
February 15,
2016
Footnotes
See page 1574.e7 for disclosure information.
Identification
Copyright
© 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
