PDF herunterladen
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
› Institutsangaben Funding None.
Weitere Informationen

Publikationsverlauf

12. September 2017

22. Februar 2019

Publikationsdatum:
22. Juli 2019 (online)

Auch verfügbar auf
   Lizenzen und Reprints

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
 

  • References

  • 1 Longo L, Greco A, Rea A, Lo Vasco VR, De Virgilio A, De Vincentiis M. Relapsing polychondritis: a clinical update. Autoimmun Rev 2016; 15 (06) 539-543
    CrossrefPubMedSuche in Google Scholar
  • 2 Halushka MK, Angelini A, Bartoloni G. , et al. Consensus statement on surgical pathology of the aorta from the Society for Cardiovascular Pathology and the Association for European Cardiovascular Pathology: II. Noninflammatory degenerative diseases - nomenclature and diagnostic criteria. Cardiovasc Pathol 2016; 25 (03) 247-257
    CrossrefPubMedSuche in Google Scholar
  • 3 Isobe M. Takayasu arteritis revisited: current diagnosis and treatment. Int J Cardiol 2013; 168 (01) 3-10
    CrossrefPubMedSuche in Google Scholar
  • 4 Saadoun D, Lambert M, Mirault T. , et al. Retrospective analysis of surgery versus endovascular intervention in Takayasu arteritis: a multicenter experience. Circulation 2012; 125 (06) 813-819
    CrossrefPubMedSuche in Google Scholar
  • 5 Jalalzadeh H, Indrakusuma R, Planken RN, Legemate DA, Koelemay MJ, Balm R. Inflammation as a predictor of abdominal aortic aneurysm growth and rupture: a systematic review of imaging biomarkers. Eur J Vasc Endovasc Surg 2016; 52 (03) 333-342
    CrossrefPubMedSuche in Google Scholar
  • 6 English SJ, Piert MR, Diaz JA. , et al. Increased 18F-FDG uptake is predictive of rupture in a novel rat abdominal aortic aneurysm rupture model. Ann Surg 2015; 261 (02) 395-404
    CrossrefPubMedSuche in Google Scholar
  • 7 Perera AH, Youngstein T, Gibbs RG, Jackson JE, Wolfe JH, Mason JC. Optimizing the outcome of vascular intervention for Takayasu arteritis. Br J Surg 2014; 101 (02) 43-50
    CrossrefPubMedSuche in Google Scholar