Ohta N, Waki T, Fukase S, Suzuki Y, Kurakami K, Aoyagi M, Kakehata S. Aortic aneurysm rupture as a rare complication of granulomatosis with polyangiitis: a case report.
J Med Case Rep 2013;
7:202. [PMID:
23889996 PMCID:
PMC3750224 DOI:
10.1186/1752-1947-7-202]
[Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2012] [Accepted: 03/05/2013] [Indexed: 12/03/2022] Open
Abstract
Introduction
Granulomatosis with polyangiitis is characterized by systemic inflammation of medium and small blood vessels. Aortic involvement in granulomatosis with polyangiitis is extremely rare. As far as we know this is the first reported case of successful treatment in a patient with granulomatosis with polyangiitis complicated with aortic aneurysm rupture.
Case presentation
We describe a case of granulomatosis with polyangiitis in a 38-year-old Japanese man who developed an aortic aneurysm rupture 22 years after disease onset. The patient was operated on and a J-graft was inserted. He recovered uneventfully.
Conclusion
Recommendations in regard to, and consideration of, aortic involvement should be kept in mind in the long-term careful follow up of granulomatosis with polyangiitis.
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