Incidentally detected aortitis during coronary bypass surgery: A case report

Abdul Kerim Buğra

doi:10.5606/tgkdc.dergisi.2022.22228

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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