Publication

[True aneurysm of the ascending aorta in HIV disease]

Journal Paper/Review - Nov 19, 1994

Units
Keywords
PubMed
Doi
Link
Contact

Citation
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.
Project
Type
Journal Paper/Review (Deutsch)
Journal
Schweiz Med Wochenschr 1994; 124
Publication Date
Nov 19, 1994
Issn Print
0036-7672
Issn Electronic
Pages
2083-7
Publisher
Brief description/objective

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.