一例主动脉根部置换术治疗活动期高动脉炎引起的环皮质扩张症。

IF 0.7 Q3 Medicine ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2023-10-01 Epub Date: 2023-08-29 DOI:10.1177/02184923231198568

Takuma Mikami, Chikara Shiiku, Ryosuke Numaguchi, Mikito Nishikawa, Tatsuya Oikawa, Ichiro Yoshida

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引用次数: 0

摘要

一名39岁的男子因与大动脉炎相关的环皮质扩张引起的严重主动脉瓣反流而导致急性心力衰竭入院。由于与大动脉炎相关的活跃炎症期，手术通常在类固醇治疗免疫抑制后进行。在此，我们报告了活跃炎症期的良好恢复。类固醇治疗是在手术后不久开始的。之所以决定在没有类固醇治疗的情况下进行主动脉根部置换术，是因为患者随后发生心力衰竭的风险很高，并伴有其他合并症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A case of aortic root replacement for annuloaortic ectasia due to Takayasu's arteritis in active inflammatory phase.

A 39-year-old man was admitted with acute heart failure due to severe aortic regurgitation induced by annuloaortic ectasia associated with Takayasu's arteritis. Because of the active inflammatory phase associated with Takayasu's arteritis, surgery is typically performed following immune suppression by steroid therapy. Herein, we report a favorable recovery in the active inflammatory phase. Steroid therapy was initiated shortly following surgery. The decision to perform aortic root replacement without prior steroid therapy was made because the patient's risk of subsequent heart failures was deemed high and was complicated by other comorbidities.

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来源期刊

ASIAN CARDIOVASCULAR & THORACIC ANNALS Multiple-

CiteScore

1.30

自引率

0.00%

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期刊介绍： The Asian Cardiovascular and Thoracic Annals is an international peer-reviewed journal pertaining to cardiovascular and thoracic medicine. Besides original clinical manuscripts, we welcome research reports, product reviews, reports of new techniques, and findings of special significance to Asia and the Pacific Rim. Case studies that have significant novel original observations, are instructive, include adequate methodological details and provide conclusions. Workshop proceedings, meetings and book reviews, letters to the editor, and meeting announcements are encouraged along with relevant articles from authors.