Takayasu aortitis with acute dissection and hemopericardium

Fabio Tavora, Jean Jeudy, Christopher Gocke, Allen Burke

Research output: Contribution to journalArticle

Abstract

We report a case of a 57-year-old woman with an unremarkable past medical history who presented to the emergency department with maxillary pain that later radiated to the chest. She died less than 12 h after admission. CT findings were consistent with ascending aorta dissection with hemopericardium. Autopsy revealed a tear immediately proximal to the ostium of the brachiocephalic artery and a dissecting flap with false lumen, rupture, and hemopericardium. Histologically, there was a zonal medial necrosis with surrounding chronic inflammation, focal destruction of the media, and fibrosis of the intima and adventitia. A diagnosis of granulomatous necrotizing aortitis of Takayasu type was made. This case demonstrates a rare example of aortitis underlying aortic dissection and emphasizes the need for careful histologic examination in cases of aortic root disease.

Original languageEnglish (US)
Pages (from-to)320-323
Number of pages4
JournalCardiovascular Pathology
Volume14
Issue number6
DOIs
StatePublished - Nov 2005
Externally publishedYes

Fingerprint

Aortitis
Pericardial Effusion
Dissection
Adventitia
Aortic Diseases
Tears
Aorta
Hospital Emergency Service
Rupture
Autopsy
Fibrosis
Necrosis
Thorax
Arteries
Inflammation
Pain

Keywords

  • Aortic dissection
  • Aortitis
  • Takayasu

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pathology and Forensic Medicine

Cite this

Takayasu aortitis with acute dissection and hemopericardium. / Tavora, Fabio; Jeudy, Jean; Gocke, Christopher; Burke, Allen.

In: Cardiovascular Pathology, Vol. 14, No. 6, 11.2005, p. 320-323.

Research output: Contribution to journalArticle

Tavora, Fabio ; Jeudy, Jean ; Gocke, Christopher ; Burke, Allen. / Takayasu aortitis with acute dissection and hemopericardium. In: Cardiovascular Pathology. 2005 ; Vol. 14, No. 6. pp. 320-323.
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