Publikation

[True aneurysm of the ascending aorta in HIV disease]

Wissenschaftlicher Artikel/Review - 19.11.1994

Bereiche
PubMed

Zitation
Boggian K, Leu H, Schneider J, Turina M, Oertle D. [True aneurysm of the ascending aorta in HIV disease]. Schweiz Med Wochenschr 1994; 124:2083-7.
Art
Wissenschaftlicher Artikel/Review (Deutsch)
Zeitschrift
Schweiz Med Wochenschr 1994; 124
Veröffentlichungsdatum
19.11.1994
ISSN (Druck)
0036-7672
Seiten
2083-7
Kurzbeschreibung/Zielsetzung

A 31-year-old male who presented with a true aneurysm of the ascending aorta had for 5 years been seropositive for HIV-1 following intravenous drug abuse. Elective aneurysmectomy was refused. Controls by computerized tomography and echocardiography gave evidence of a progressive dilatation during the following 8 months. In February 1992 a further increase of the aneurysm with severe thoracic pain necessitated an emergency graft implantation. Histopathology of the resected aorta revealed a granulomatous giant cell mesaortitis. The postoperative course was uneventful and the patient remained free of cardiovascular symptoms, but died 25 months later due to multiple HIV-associated opportunistic infections. The differential diagnosis (Marfan's syndrome, vasculitis due to tuberculosis, syphilis and other infectious agents, rheumatological diseases, HIV-associated vasculitis) and the etiopathological considerations are discussed.