PMID- 28109377
OWN - NLM
STAT- MEDLINE
DCOM- 20170414
LR  - 20170817
IS  - 1552-6259 (Electronic)
IS  - 0003-4975 (Linking)
VI  - 103
IP  - 2
DP  - 2017 Feb
TI  - Antineutrophil Cytoplasmic Antibody-Associated Multiple Giant Saccular Aortic 
      Aneurysms.
PG  - e153-e155
LID - S0003-4975(16)30880-3 [pii]
LID - 10.1016/j.athoracsur.2016.06.109 [doi]
AB  - We describe a very rare case of a 67-year-old man with multiple saccular aortic 
      aneurysms throughout the entire aorta due to antineutrophil cytoplasmic 
      antibody-associated vasculitis (AAV). The patient underwent staged aortic 
      surgical procedures, including stent-graft insertion for a left iliac artery 
      aneurysm, thoracic endovascular aortic repair for a descending aortic aneurysm, 
      and total replacement of the ascending aorta and aortic arch with the use of 
      high-dose steroids to control inflammation. The histologic findings demonstrated 
      that the damage to the vasa vasorum of the adventitia resulting from AAV caused 
      ischemia of the media, resulting in the formation of saccular aneurysmal changes.
CI  - Copyright (c) 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All 
      rights reserved.
FAU - Kinoshita, Ryoji
AU  - Kinoshita R
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Mizuno, Tomohiro
AU  - Mizuno T
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan. Electronic address: 
      t-mizuno@yhc.att.ne.jp.
FAU - Hachimaru, Tsuyoshi
AU  - Hachimaru T
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Oi, Keiji
AU  - Oi K
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Yashima, Masafumi
AU  - Yashima M
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Nagaoka, Eiki
AU  - Nagaoka E
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Fujiwara, Tatsuki
AU  - Fujiwara T
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Kuroki, Hidehito
AU  - Kuroki H
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Tasaki, Dai
AU  - Tasaki D
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Arai, Hirokuni
AU  - Arai H
AD  - Department of Cardiovascular Surgery, Graduate School of Medical and Dental 
      Science, Tokyo Medical and Dental University, Tokyo, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Aged
MH  - Angioplasty/*methods
MH  - Anti-Neutrophil Cytoplasmic Antibody-Associated 
      Vasculitis/*complications/diagnosis
MH  - Aortic Aneurysm, Thoracic/diagnostic imaging/*immunology/*surgery
MH  - Blood Vessel Prosthesis Implantation/*methods
MH  - Computed Tomography Angiography/*methods
MH  - Follow-Up Studies
MH  - Humans
MH  - Imaging, Three-Dimensional
MH  - Male
MH  - Rare Diseases
MH  - Risk Assessment
MH  - Treatment Outcome
MH  - Vascular Surgical Procedures/methods
EDAT- 2017/01/23 06:00
MHDA- 2017/04/15 06:00
CRDT- 2017/01/23 06:00
PHST- 2016/05/13 00:00 [received]
PHST- 2016/06/17 00:00 [revised]
PHST- 2016/06/28 00:00 [accepted]
PHST- 2017/01/23 06:00 [entrez]
PHST- 2017/01/23 06:00 [pubmed]
PHST- 2017/04/15 06:00 [medline]
AID - S0003-4975(16)30880-3 [pii]
AID - 10.1016/j.athoracsur.2016.06.109 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 2017 Feb;103(2):e153-e155. doi: 
      10.1016/j.athoracsur.2016.06.109.