Multimodal imaging in Ig G4- related aortitis: case report

• Benites-Yshpilco, Lindsay ^[2] ; Barriales-Revilla, Lucia ; Baltodano-Arellano, Roberto ^[1] ; Falcón-Quispe, Luis ^[3] ; Cupe-Chacalcaje, Kelly ^[3] ; Cachicatari-Beltrán, Ángela ; Lévano-Pachas, Gerald ^[2]
  1. [1] Universidad Nacional Mayor de San Marcos

     Universidad Nacional Mayor de San Marcos

     Perú

     
  2. [2] Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Perú.
  3. [3] Cardiac imaging area of Cardiology Service, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Perú.

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• Localización: Revista Peruanos de Cardiología y Cirugía Cardiovascular, ISSN-e 2708-7212, Vol. 4, Nº. 4, 2023, págs. 1-4
• Idioma: inglés
• DOI: 10.47487/apcyccv.v5i1.317
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• Resumen

  • We present the case of a 56-year-old patient with fever of unknown origin associated with chest and lumbar pain. Multimodality imaging revealed diffuse peri-aortitis in the thoracic aorta without involvement of the aortic valve, contributing substantially to the diagnosis of Ig G4-associated aortitis. Immunosuppressive therapy was started. Follow-up at five months with cardiac magnetic resonance imaging showed a reduction in the inflammatory process in the thoracic aorta.

• Referencias bibliográficas
  • Gornik HL, Creager MA. Aortitis. Circulation. 2008;10;117(23):3039-51. doi: 10.1161/CIRCULATIONAHA.107. 760686.
  • Svensson LG, Arafat A, Roselli EE, Idrees J, Clifford A, Tan C, et al. Inflammatory disease of the aorta: patterns and classification of giant...
  • Bhave NM, Nienaber CA, Clough RE, Eagle KA. Multimodality Imaging of Thoracic Aortic Diseases in Adults. JACC Cardiovasc Imaging. 2018;11(6):902-919....
  • Oyama-Manabe N, Yabusaki S, Manabe O, Kato F, Kanno-Okada H, Kudo K. IgG4-related Cardiovascular Disease from the Aorta to the Coronary Arteries:...
  • Vaglio A, Salvarani C, Buzio C. Retroperitoneal fibrosis. Lancet. 2006;21;367(9506):241-51. doi: 10.1016/S0140-6736(06)68035-5.
  • Hartlage GR, Palios J, Barron BJ, Stillman AE, Bossone E, Clements SD, Lerakis S. Multimodality imaging of aortitis. JACC Cardiovasc Imaging....
  • Chowdhary VR, Crowson CS, Liang KP, Michet CJ Jr, Miller DV, Warrington KJ, Matteson EL. Cardiovascular risk factors and acutephase response...
  • Schmidt J, Sunesen K, Kornum JB, Duhaut P, Thomsen RW. Predictors for pathologically confirmed aortitis after resection of the ascending aorta:...
  • Belhocine T, Blockmans D, Hustinx R, Vandevivere J, Mortelmans L. Imaging of large vessel vasculitis with (18)FDG PET: illusion or reality?...
  • Roberts WC, Moore AJ, Roberts CS. Syphilitic aortitis: still a current common
  • cause of aneurysm of the tubular portion of ascending aorta. Cardiovasc Pathol. 2020;46:107175. doi: 10.1016/j.carpath.2019.107175.
  • Cox K, Sundaram RD, Popescu M, Pillai K, Kermali M, Harky A. A review on the deeper understanding of inflammation and infection of the thoracic...