Etiology, Diagnosis and Management of Aortitis.

Abstract:

:Aortitis includes conditions with infectious or non-infectious etiology, characterized by inflammatory changes in one or more layers in aortic wall. Age at onset, geographic predilections, distribution and pattern of involvement in aorta, its branches and pulmonary arteries, and systemic associations provide a clue to etiology. Clinical presentations are often non-specific. An integrated approach including clinical, laboratory and imaging assessment is essential to confirm diagnosis and plan treatment. Assessment of disease activity is the key as it influences timing and outcome of treatment. Markers of activity include clinical, laboratory and imaging. Medical management remains the first-line therapy. Revascularization is indicated in the presence of hemodynamically significant stenosis and inactive disease. In the presence of flash pulmonary edema, left ventricular dysfunction or hypertensive encephalopathy, revascularization is performed irrespective of disease activity. Endovascular management is favored over surgery due to its high success and low restenosis rates. Symptomatic aneurysmal disease is usually managed by surgery.

authors

Sharma S,Pandey NN,Sinha M,Chandrashekhara SH

doi

10.1007/s00270-020-02486-6

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1821-1836

issue

12

eissn

0174-1551

issn

1432-086X

pii

10.1007/s00270-020-02486-6

journal_volume

43

pub_type

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