naa a22 4500 510728448 CHVBK 20180411082944.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s11748-012-0137-9 doi (NATIONALLICENCE)springer-10.1007/s11748-012-0137-9 Modified reduction aortoplasty with external reinforcement of the ascending aortic aneurysm caused by giant cell arteritis treated as polymyalgia rheumatica [Elektronische Daten] [Jun Hirota, Syunichi Kondo, Tsuyoshi Yamabe, Taichi Kondo, Yuki Seto, Shigebumi Suzuki] A 74-year-old Japanese woman was referred to our hospital for surgical repair of an ascending aortic aneurysm and severe aortic valve regurgitation. She had received low dose steroid treatment for 6years due to a diagnosis of the polymyalgia rheumatica (PMR), and no signs of inflammation were detected serologically. Modified reduction aortoplasty with external prosthetic support of the ascending aorta was performed following uneventful aortic valve replacement under cardiopulmonary bypass. The macroscopic view of the ascending aortic wall showed the diffuse spotty medial defects. The pathological interpretation of the aneurysmal wall was giant cell arteritis (GCA). Because PMR is intimately associated with GCA, physicians should be aware of the development of thoracic aortic aneurysm even in the course of PMR. Reduction aortoplasty is simple and may not be precluded from the treatment option for the aortic dilatation associated with giant cell arteritis. The Japanese Association for Thoracic Surgery, 2012 Reduction aortoplasty with external reinforcement nationallicence Giant cell arteritis nationallicence Polymyalgia rheumatica nationallicence Ascending aortic aneurysm nationallicence Hirota Jun Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut Kondo Syunichi Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut Yamabe Tsuyoshi Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut Kondo Taichi Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut Seto Yuki Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut Suzuki Shigebumi Department of Cardiology, Fukushima Rousai Hospital, Iwaki, Fukushima, Japan aut General Thoracic and Cardiovascular Surgery Springer Japan 61/4(2013-04-01), 226-230 1863-6705 61:4<226 2013 61 11748 https://doi.org/10.1007/s11748-012-0137-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-012-0137-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hirota Jun Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut NATIONALLICENCE 700 1- Kondo Syunichi Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut NATIONALLICENCE 700 1- Yamabe Tsuyoshi Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut NATIONALLICENCE 700 1- Kondo Taichi Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut NATIONALLICENCE 700 1- Seto Yuki Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigo, Mimaya-machi, 973-8555, Iwaki, Fukushima, Japan aut NATIONALLICENCE 700 1- Suzuki Shigebumi Department of Cardiology, Fukushima Rousai Hospital, Iwaki, Fukushima, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/4(2013-04-01), 226-230 1863-6705 61:4<226 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer