07 December 2023: Articles
Immune-Mediated Non-Infectious Periaortitis After Aortic Graft Replacement Surgery: A Case Report Highlighting the Need for Immunosuppressive Therapy
Unusual clinical course, Challenging differential diagnosis, Unusual setting of medical care
Yuki Hiramatsu A , Eiji Hiraoka A* , Hikaru Ito A , Keiichi Iwanami A , Joji Ito A , Minoru Tabata ADOI: 10.12659/AJCR.941428
Am J Case Rep 2023; 24:e941428
Figure 1. Computed tomography image of ascending aorta. Peri-graft effusion is shown by the white arrow. As a marker of peri-graft effusion volume, the maximum dimension of peri-graft effusion (E) and the ratio of the peri-graft effusion dimension to graft diameter (E/G ratio) were evaluated as reported previously [16]. (A) Before initiation of the first glucocorticoid treatment (6 weeks after the first surgery): Peri-graft fluid collection. E 10 mm, E/G ratio 0.37. (B) After the first glucocorticoid treatment: Substantial improvement of peri-graft fluid collection. E 2 mm, E/G ratio 0.07. (C) Before initiating the second round of glucocorticoid treatment (6 months after the first surgery): Exacerbation of peri-graft fluid collection. E 14 mm, E/G ratio 0.52. (D) Four months after starting the second glucocorticoid treatment: No recurrence of peri-graft fluid collection. E 2 mm, E/G ratio 0.07.