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- Gregory Dessertenne, Ludovic Canaud, Charles Marty-Ané, and Pierre Alric.
- Department of Thoracic and Vascular Surgery, Centre hospitalier universitaire de Montpellier, Montpellier, France. Electronic address: gregory.dessertenne@laposte.net.
- Ann Vasc Surg. 2015 Oct 1; 29 (7): 1448.e1-3.
AbstractAortic aneurysm is a rare but a serious complication of systemic lupus erythematosus. We report the case of a 59-year-old man with systemic lupus erythematosus disease who presented with symptomatic saccular thoracoabdominal aneurysms. The 2 aneurysms were resected and 2 silver-coated tube grafts were interposed. Surgical pathology revealed lymphoplasmacytic aortitis, without pathogenic agents. This is the first case of a double localization of saccular thoracoabdominal aneurysms with inflammatory aortitis caused by lupus. In patients with a history of systemic lupus erythematosus, with or without active inflammation, screening for aortic disease should be selectively performed if other risk factors for aortic aneurysm are present. Copyright © 2015 Elsevier Inc. All rights reserved.
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