A Case of Abdominal Aortic Aneurysm in a Systemic Lupus Erythematosus Patient.
10.4326/jjcvs.28.201
- VernacularTitle:全身性エリテマトーデス合併腹部大動脈りゅうの１手術治験例
- Author:
Hitoshi Matsumoto
;
Toshiyuki Yuda
;
Takayuki Ueno
;
Yousuke Hisashi
;
Yukinori Moriyama
;
Akira Taira
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(3):201-204
- CountryJapan
- Language:Japanese
-
Abstract:
A 49-year-old woman with systemic lupus erythematosus (SLE) underwent grafting for abdominal aortic aneurysm. She had been receiving steroid therapy for 23 years. The abdominal aneurysm was a saccular type, 7cm in width. It had thick mural thrombi with focal calcification, however, no inflammatory findings were recognized around it. Replacement with 16mm Dacron tube graft was performed. The postoperative course was uneventful. Pathological examination showed only atherosclerotic change with no specific inflammation in the aneurysmal wall. It is rare that SLE patients have aortic aneurysm. However, SLE patients should be carefully followed because of their premature atherosclerotis.
