Delayed Ascending Aortic Pseudoaneurysm in an Adult Onset Still's Disease Patient with Previous Mitral Valve and Aortic Root Replacement

Abstract

A 59-year-old female patient with Adult Onset Still's Disease (AOSD) presented with hemoptysis and pseudoaneurysm from an aortic root vent cannulation site that was created 4 years earlier for combined mitral and aortic valve surgery. The pseudoaneurysm was successfully repaired and the patient remained well during a follow-up period of 20 months.

Aortic disease - heart valve surgery - cardiovascular surgery

References

• 1 Yamaguchi M, Ohta A, Tsunematsu T et al. Preliminary criteria for classification of adult Still's disease.  J Rheumatol. 1992;  19 424-430
• 2 Lee J S, Do I N, Kang D H et al. Adult onset Still's disease as a cause of acute severe mitral and aortic regurgitation.  Korean J Intern Med. 2005;  20 264-267
• 3 Maksimowicz-McKinnon K, Mandell B F. Understanding valvular heart disease in patients with systemic autoimmune diseases.  Cleve Clin J Med. 2004;  71 881-885
• 4 Slobodin G, Naschitz J E, Zuckerman E et al. Aortic involvement in rheumatic diseases.  Clin Exp Rheumatol. 2006;  24 S41-S47
• 5 Townend J N, Emery P, Davies M K, Littler W A. Acute aortitis and aortic incompetence due to systemic rheumatological disorders.  Int J Cardiol. 1991;  33 253-258