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CC BY 4.0 · Aorta (Stamford) 2019; 07(01): 018-021
DOI: 10.1055/s-0039-1687903
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

18-Fluorodeoxyglucose Positron Emission Tomography-Computed Tomography to Guide Aortic Arch Replacement in Relapsing Polychondritis

Raymond Pfister
1   Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland
2   Department of Cardiac Surgery, Valais Hospital, Sion, Switzerland
,
Maria Messe
3   Department of Neurology, Valais Hospital, Sion, Switzerland
,
Lars Niclauss
1   Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland
2   Department of Cardiac Surgery, Valais Hospital, Sion, Switzerland
,
Matthias Kirsch
1   Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland
,
Claude Haller
4   Department of Vascular Surgery, Valais Hospital, Sion, Switzerland
,
Dominique Delay
1   Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland
2   Department of Cardiac Surgery, Valais Hospital, Sion, Switzerland
› Author Affiliations Funding None.
Further Information

Publication History

12 September 2017

22 February 2019

Publication Date:
22 July 2019 (online)

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Abstract

Relapsing polychondritis (RP) is a rare progressive autoimmune disease. The cardiovascular system is rarely involved. The authors report the case of a young woman with RP aortic arch aneurysm and symptomatic cerebral vessels stenosis. A positron emission tomography-computed tomography (PET–CT) indicated areas with activity and guided the surgery. Aortic arch with proximal vessels was successfully replaced. The PET–CT may be useful to assess the risks and determine healthy zones for potential anastomotic sites.

Keywords

relapsing polychondritis - vasculitis - PET–CT - aorta - aortic arch replacement
 

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