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polyarteritis nodosa and aortic aneurysm

W Ye, X Di, Q Liu, Y J Li, Y H Zheng, R Zeng, X J Song, Z L Liu, C W Liu
Objective: To summarize results of endovascular treatment for auto-immune disease related abdominal aorta pseudo-aneurysm(AIPA), and to analysis clinical predictors of long term major adverse clinical events(MACE). Methods: Retrospectively collected endovascular treatment for AIPA cases in Peking Union Medical College Hospital within 2000 to 2015. Twenty-nine cases with AIPA treated by endovascular therapy were enrolled in this study. Twenty five cases were male, range from 23 to 67 years old, mean age was (39...
December 6, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Francisco Leonardo Galastri, Rafael Noronha Cavalcante, Joaquim Mauricio Motta-Leal-Filho, Bruna De Fina, Breno Boueri Affonso, Jorge Eduardo de Amorim, Nelson Wolosker, Felipe Nasser
The purpose of this study is to describe 10 cases of symptomatic isolated spontaneous celiac trunk dissection (ISCTD) in order to evaluate the initial clinical presentation, diagnosis, treatment modalities and outcomes. A retrospective search was performed from 2009 to 2014 and 10 patients with ISCTD were included in the study. Patients with associated aortic and/or other visceral artery dissection were excluded. The following information was collected from each case: sex, age, associated risk factors, symptoms, diagnostic method, anatomic dissection pattern, treatment modality and outcome...
August 2015: Vascular Medicine
Yevgeniy Rits, Gustavo S Oderich, Thomas C Bower, Dylan V Miller, Leslie Cooper, Joseph J Ricotta, Manju Kalra, Peter Gloviczki
OBJECTIVE: This study reviewed the outcomes of open and endovascular revascularization for mesenteric vasculitis (MV). METHODS: We reviewed the clinical data of all patients who underwent revascularization for occlusive MV from 1984 to 2008. Patients treated for aneurysms or mucosal bleeding without ischemic symptoms were excluded. End points were early mortality and morbidity, survival, freedom from mesenteric symptoms, and patency. Outcomes of open reconstructions were compared with the results of 163 patients who underwent open operations for atherosclerotic disease...
February 2010: Journal of Vascular Surgery
Theodosios E Bisdas, Omke E Teebken, Mathias Wilhelmi, Joachim Lotz, Martin Bredt, Axel Haverich, Maximilian A Pichlmaier
Cogan's syndrome is a rare systemic disease which occurs predominantly in children and young adults. It was originally described as the combination of interstitial keratitis and audiovestibular disturbance. The nonspecific symptoms of the patients can be associated with numerous of systemic manifestations and, most characteristic, cardiovascular involvement. It affects large vessels (Takayasu-like) and medium size (polyarteritis nodosa-like) vessels. Here a case of extensive thoracoabdominal aortic replacement in a 28-year-old woman with Cogan's syndrome due to the symptomatic aortic aneurysm is described...
November 2009: Annals of Thoracic Surgery
Tarina Lee Kang, Douglas L Teich, Daniel C McGillicuddy
Spontaneous, isolated dissection of the superior mesenteric artery (SMA) and celiac artery (CA) is rare. Although there are known risk factors, there is no particular mechanism that is common to vascular dissections. The objectives of this study were to review the current literature on diagnosis and treatment of isolated SMA and CA dissection, and to review aortic complications in giant cell arteritis, Takayasu arteritis, and polyarteritis nodosa. Giant cell arteritis, Takayasu arteritis, and polyarterteritis nodosa are vasculitides that are associated with SMA and CA dissection...
February 2011: Journal of Emergency Medicine
Noriyuki Sakata, Tadashi Tashiro, Noriko Uesugi, Takemi Kawara, Kiyomi Furuya, Yoko Hirata, Hiroshi Iwasaki, Masaru Kojima
Inflammatory abdominal aortic aneurysm (IAA) is associated with autoimmune disease. However, the precise mechanism of IAA remains unclear. There is increasing evidence that IgG4 is involved in the autoimmune mechanism of various idiopathic sclerosing lesions, including sclerosing pancreatitis and retroperitoneal fibrosis. The present study investigated the hypothesis that the IgG4-related autoimmune reaction is involved in the formation of IAA. The study group consisted of 11 cases of IAA (69.2 +/- 8.59y) and 12 age-matched cases of atherosclerotic abdominal aortic aneurysm (AAA, 69...
April 2008: American Journal of Surgical Pathology
Yuki Nakamura, Hitoshi Ogino, Hitoshi Matsuda, Kenji Minatoya, Hiroaki Sasaki, Soichiro Kitamura
We report a rare case of a 50-year-old man with multiple and repetitive anastomotic pseudoaneurysms associated with polyarteritis nodosa. The pseudoaneurysms were located at the aortic root and the ascending aorta. Infectious and congenital etiologies, as well as nonbacterial inflammatory diseases, were ruled out. Idiopathic aortitis or aortitis due to polyarteritis nodosa might fit the case.
January 2008: Annals of Thoracic Surgery
Jiang Lin, Bin Chen, Jian-Hua Wang, Meng-Su Zeng, Yi-Xiang Wang
Using a 1.5-T magnetic resonance (MR) imager equipped with 32 receiving channels and integrated parallel acquisition techniques, 37 patients underwent whole-body three-dimensional (3D) contrast-enhanced MR angiography (WB 3D CE MRA). The patients included had clinically documented or suspected peripheral arterial occlusive disease (PAOD, n = 19), Takayasu arteritis (n = 8), polyarteritis nodosa (n = 1), type-B dissection (n = 4), thoracic and/or abdominal aneurysm (n = 5). Sixty-eight surface coils were employed to encompass the whole body...
November 2006: Heart and Vessels
Jiang Lin, Bin Chen, Jian-hua Wang
BACKGROUND: With the development of magnetic resonance (MR) technologies, whole-body 3D contrast-enhanced MR angiography (3D CE MRA) has become possible. The purpose of this study was to introduce and evaluate this technique in demonstration of various systemic arterial diseases. METHODS: Thirty-seven patients underwent whole-body 3D CE MRA using a 1.5T MR imager. The patients included were with clinically documented or suspected peripheral arterial occlusive disease (PAOD, n = 19), Takayasu arteritis (n = 8), polyarteritis nodosa (n = 1), Type B dissection (n = 4) and thoracic and/or abdominal aneurysm (n = 5)...
November 5, 2006: Chinese Medical Journal
R Gorin, M Sorin, A Meyer, A Batisse, M C Toumieux, P Mozziconacci
No abstract text is available yet for this article.
February 1978: Annales de Pédiatrie
E Håkanson, I E Konstantinov, S G Fransson, R Svedjeholm
Massive haemoptysis represents a major medical emergency that is associated with a high mortality. Here we present two cases of life-threatening haemoptysis, the first caused by rupture of an aortic aneurysm into the lung in a 37-yr-old woman with polyarteritis nodosa and the second caused by massive bleeding from an angiectatic vascular malformation in the right main bronchus in a 21-yr-old woman. Fibreoptic bronchoscopy played an essential role in the diagnostic process and management of the respiratory tract...
February 2002: British Journal of Anaesthesia
J W Cohen Tervaert, W J Boeve, J J Kolkman, H O ten Cate Hoedemaker, C A Stegeman
Various forms of vasculitis may result in mesenteric ischaemia, ischaemic colitis or aneurysm formation in the aorta or intestinal blood vessels. Vasculitides may involve large- and/or medium-sized vessels, medium- and/or small-sized vessels, or small-sized vessels only. It is essential to differentiate between the different forms of vasculitis since diagnostic tests and therapies differ greatly. Gastrointestinal manifestations of vasculitis can generally be detected using angiography, digital subtraction angiography and/or magnetic resonance angiography (MRA)...
February 9, 2002: Nederlands Tijdschrift Voor Geneeskunde
N D Karanjia, S J Cawthorn, A E Giddings
Inflammatory arterial disease is often insidious and associated with a substantial morbidity and mortality. Early recognition is vital. Patients with arteritis (n = 106) were studied and divided into five groups. Two of these were subgroups of giant cell arteritis classified by site into either cranial arteritis (66), or upper limb arteritis (7). Three other groups were identified; chronic periaortitis (with or without inflammatory aortic aneurysm) (7), polyarteritis nodosa (14), and small vessel arteritis (12)...
May 1993: Journal of the Royal Society of Medicine
H Sugiura, Y Hosoda
Vasculitis has a simple definition--primary inflammation of the blood vessels, often with necrosis and occlusive changes--but its clinical manifestations are diverse and complex. In the absence of pathognomonic clinical features and laboratory tests, the diagnosis of vasculitis relies heavily on the correct interpretation of histologic changes but these too may not be specific in any given case. A positive biopsy is always helpful whereas a negative biopsy does not exclude the disease under consideration because the vasculitis may be focal and segmental in distribution, as in polyarteritis nodosa...
August 1994: Nihon Rinsho. Japanese Journal of Clinical Medicine
C Marks, S Kuskov
The ever-spreading incidence of infection with the human immunodeficiency virus (HIV) has introduced a spectrum of unusual, subtle, and often life-threatening lesions that can affect almost every organ and tissue in the body. With the introduction of laboratory serologic evidence of HIV infection, the spectrum of indicator diseases has extended beyond the classic opportunistic infections and Kaposi sarcoma. An analysis of 28 patients in Zimbabwe with focal areas of vascular disease treated during a 4-year period (1989-1993) defined 16 patients ranging in age from 12 to 46 years appropriate for special scrutiny as they evinced none of the usual causes of vascular disease...
January 1995: World Journal of Surgery
D K Beattie, W P Hellier, M P Powell
Polyarteritis nodosa (PAN) is an uncommon but well documented cause of subarachnoid haemorrhage (SAH). We report a case of SAH in a patient with PAN causing death indirectly from the effects of resultant cardiovascular changes upon other manifestations of PAN. Clinicians should be aware of the systemic effects of SAH in patients with known vasculitides.
April 1995: British Journal of Neurosurgery
S I Saksonov, O M Bekker, S V Slugina, S Ia Balaban
No abstract text is available yet for this article.
1981: Terapevticheskiĭ Arkhiv
I Gassner, I Hammerer, K Pillwein
The authors report on a male infant displaying all the clinical features of the mucocutaneous lymph node syndrome (MLNS) as described by Kawasaki in 1967. In the same patient, diffuse dilatation of the whole arterial tree--as known in infantile periarteriitis nodosa but so far not shown in MLNS--could be demonstrated angiographically during the acute phase of the disease. As the vascular findings at postmortem examination in MLNS and periarteriitis nodosa were the same too, the authors believe that separation of these diseases is not justified...
1980: Pädiatrie und Pädologie
E G Götz
No abstract text is available yet for this article.
July 1972: Klinische Pädiatrie
R S Mach
No abstract text is available yet for this article.
April 4, 1972: Schweizerische Rundschau Für Medizin Praxis, Revue Suisse de Médecine Praxis
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