偶然发现的非感染性胸主动脉炎:临床方法。

IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Alison H Clifford
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引用次数: 0

摘要

非感染性主动脉炎偶尔会在开胸主动脉手术后的影像学或组织病理学检查中偶然发现。它可以表现为临床上无症状、看似病灶的病变,也可以表现为贯穿多个主动脉节段但不包括分支血管的弥漫性炎症,还可以表现为广泛的全身性疾病。由于病因不同,治疗方法也不同,因此一旦发现大动脉炎,所有患者都需要进行全面评估、实验室检查、完整的大血管成像检查,并转诊给脉管炎专家。所有大动脉炎患者都有未来出现血管并发症的高风险,因此应进行连续的临床评估和影像学检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidentally detected noninfectious thoracic aortitis: A clinical approach.

Noninfectious 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.

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来源期刊
Cleveland Clinic Journal of Medicine
Cleveland Clinic Journal of Medicine 医学-医学:内科
CiteScore
3.80
自引率
0.00%
发文量
109
审稿时长
6-12 weeks
期刊介绍: The mission of Cleveland Clinic Journal of Medicine (CCJM) is to provide its readers with up-to-date, practical, clinical information relevant to internal medicine, cardiology, and related fields. Consistent with this mission, CCJM focuses on timely review articles and other content that has a continuing-education orientation rather than on original research or case reports. CCJM authors, drawn from Cleveland Clinic and other top medical institutions throughout the world, are asked to identify new findings that are changing the practice of medicine and to advise readers how to apply them in daily patient care. Authors are chosen for their experience, acquired through caring for patients, teaching other physicians, and researching clinical questions.
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