Infectious and Noninfectious Aortitis: Cross-Sectional Imaging Findings

被引:33
作者
Katabathina, Venkata S. [1 ]
Restrepo, Carlos S. [1 ]
机构
[1] Univ Texas Hlth Sci Ctr San Antonio, Dept Radiol, San Antonio, TX 78229 USA
关键词
GIANT-CELL ARTERITIS; POSITRON-EMISSION-TOMOGRAPHY; LARGE-VESSEL VASCULITIS; TAKAYASU-ARTERITIS; ASCENDING AORTA; RETROPERITONEAL FIBROSIS; SYPHILITIC AORTITIS; RADIOLOGIC MANIFESTATIONS; RELAPSING POLYCHONDRITIS; POLYMYALGIA-RHEUMATICA;
D O I
10.1053/j.sult.2011.12.001
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
"Aortitis" is a pathologic term that refers to an abnormal inflammation of the aortic wall. A wide spectrum of infectious, inflammatory, and idiopathic conditions may result in the development of aortitis. Infectious aortitis may be secondary to bacterial, tubercular, syphilitic, and viral pathogens. Although Takayasu arteritis and giant cell arteritis are the most common rheumatologic causes of aortitis, the other systemic diseases, such as rheumatoid arthritis, systemic lupus erythematosus, Behcet disease, and Cogan syndrome, may also be associated with aortitis. In addition, aortitis may also occur without any systemic diseases or infectious causes (idiopathic). Clinical features of aortitis are nonspecific and may include fever, abdominal or chest pain, and vascular insufficiency. Patients may have elevated serum levels of acute phase reactants. A high index of clinical suspicion is always needed for the diagnosis of aortitis in a timely manner. Cross-sectional imaging techniques, such as computed tomographic angiography, magnetic resonance imaging, magnetic resonance angiography, and positron emission tomography, are extremely helpful in diagnosis, assessing disease activity, treatment planning, and post-treatment follow-up. Many of the patients with aortitis may require a multimodality imaging approach for appropriate diagnosis. Knowledge of the clinical features and cross-sectional imaging findings of different types of aortitis permit optimal patient management. Semin Ultrasound CT MRI 33:207-221 (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:207 / 221
页数:15
相关论文
共 83 条
[1]   Tuberculous infection of the descending thoracic and abdominal aorta: Case report and literature review [J].
Allins, AD ;
Wagner, WH ;
Cossman, DV ;
Gold, RN ;
Hiatt, JR .
ANNALS OF VASCULAR SURGERY, 1999, 13 (04) :439-444
[2]   Giant cell arteritis [J].
Bau, JL ;
Ly, JQ ;
Borstad, GC ;
Lusk, JD ;
Sealy, TM ;
Beall, DP .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2003, 181 (03) :742-742
[3]   Aortic graft infection:: The value of percutaneous drainage [J].
Bélair, M ;
Soulez, G ;
Oliva, VL ;
Lapérrière, J ;
Gianfelice, D ;
Blair, JF ;
Sarrazin, J ;
Thèrasse, E .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 171 (01) :119-124
[4]  
Bley TA, 2007, CLIN EXP RHEUMATOL, V25, pS60
[5]   Positron emission tomography in giant cell arteritis and polymyalgia rheumatica: Evidence for inflammation of the aortic arch [J].
Blockmans, D ;
Stroobants, S ;
Maes, A ;
Mortelmans, L .
AMERICAN JOURNAL OF MEDICINE, 2000, 108 (03) :246-249
[6]   Early sternal erosion and luetic aneurysms of thoracic aorta: report of 6 cases and analysis of cause-effect relationship [J].
Bodhey, NK ;
Gupta, AK ;
Neelakandhan, KS ;
Unnikrishnan, M .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2005, 28 (03) :499-501
[7]   Large-vessel involvement in giant cell arteritis [J].
Bongartz, T ;
Matteson, EL .
CURRENT OPINION IN RHEUMATOLOGY, 2006, 18 (01) :10-17
[8]   Aortic involvement in giant cell arteritis: Current data [J].
Bossert, Marie ;
Prati, Clement ;
Balblanc, Jean-Charles ;
Lohse, Anne ;
Wendling, Daniel .
JOINT BONE SPINE, 2011, 78 (03) :246-251
[9]   Abdominal Infectious Aortitis Caused by Streptococcus pneumoniae: A Case Report and Literature Review [J].
Cartery, Claire ;
Astudillo, Leonardo ;
Deelchand, Amar ;
Moskovitch, Guillaume ;
Sailler, Laurent ;
Bossavy, Jean-Pierre ;
Arlet, Phillippe .
ANNALS OF VASCULAR SURGERY, 2011, 25 (02) :266.e9-266.e16
[10]   Radiologic and clinical findings of Behcet disease: Comprehensive review of multisystemic involvement [J].
Chae, Eun Jin ;
Do, Kyung-Hyun ;
Seo, Joon Beom ;
Park, Seong Hoon ;
Kang, Joon-Won ;
Jang, Yu Mi ;
Lee, Jin Seong ;
Song, Jae-Woo ;
Song, Koun-Sik ;
Lee, Jeong Hyun ;
Kim, Ah Young ;
Lim, Tae-Hwan .
RADIOGRAPHICS, 2008, 28 (05) :1-56