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10.5606/tgkdc.dergisi.2022.22228
Incidentally detected aortitis during coronary bypass surgery: A case report
Abdul Kerim Buğra1, Aytül Buğra2, Ersin Kadiroğulları1, Burak Onan1
1Department of Cardiovascular Surgery, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Türkiye
2Department of Histopathology, Council of Forensic Medicine, Istanbul, Türkiye
DOI : 10.5606/tgkdc.dergisi.2022.22228
Aortitis is the inflammation of the aortic wall. In our case, in
which we planned elective coronary bypass surgery, a firm
and dilated ascending aorta with a pearlescent color was
encountered intraoperatively. Histopathological examination
revealed extensive lymphoplasmacytic infiltration and storiform
fibrosis. Aortitis may be a component of a multisystemic or
autoimmune disease. The time of diagnosis may coincide
with the asymptomatic period of the systemic disease. This
case was presented as it was incidentally detected during
coronary bypass surgery and was histopathologically diagnosed
as immunoglobulin G4-related aortitis, although it could not be
diagnosed in clinical and laboratory evaluations.
Keywords : Aortic surgery, aortitis, immunoglobulin G4-related disease
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