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

Raymond Pfister; Maria Messe; Lars Niclauss; Matthias Kirsch; Claude Haller; Dominique Delay

doi:10.1055/s-0039-1687903

AORTA, Table of Contents

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

¹Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland

²Department of Cardiac Surgery, Valais Hospital, Sion, Switzerland

,

Maria Messe

³Department of Neurology, Valais Hospital, Sion, Switzerland

,

Lars Niclauss

¹Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland

²Department of Cardiac Surgery, Valais Hospital, Sion, Switzerland

,

Matthias Kirsch

¹Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland

,

Claude Haller

⁴Department of Vascular Surgery, Valais Hospital, Sion, Switzerland

,

Dominique Delay

¹Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland

²Department of Cardiac Surgery, Valais Hospital, Sion, Switzerland

› Author Affiliations

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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References

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