• Cleve Clin J Med · Oct 2024

    Review

    Incidentally detected noninfectious thoracic aortitis: A clinical approach.

    • Alison H Clifford.
    • Associate Professor, Division of Rheumatology, University of Alberta, Edmonton, Canada alison5@ualberta.ca.
    • Cleve Clin J Med. 2024 Oct 1; 91 (10): 621633621-633.

    AbstractNoninfectious aortitis is occasionally detected incidentally, either on imaging or on histopathologic review after open thoracic aortic surgery. It can present as a clinically asymptomatic, seemingly focal lesion, as diffuse inflammation throughout several aortic segments but sparing the branch vessels, or as a manifestation of a widespread systemic condition. Treatment differs based on etiology, so once identified, all patients with aortitis need a thorough evaluation, laboratory tests, complete large-vessel imaging, and a referral to a vasculitis expert. All patients with aortitis are at high risk of future vascular complications and should be followed with serial clinical evaluations and imaging.Copyright © 2024 The Cleveland Clinic Foundation. All Rights Reserved.

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