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SpringerReference Innere Medizin pp 1–8Cite as

Aortitis

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Definition

Die Aortitis ist eine Entzündung der Aorta, der großen Körperschlagader, die vom Herzen durch Brust- und Bauchraum in die Peripherie führt. Eine Aortitis ist eine seltene Erkrankung, die definiert ist durch eine Inflammation des Aortengewebes. Dies lässt sich aufgrund der Ursachen differenzieren in:

  • Infektiöse (syphilitische) Aortitis

  • Infektiöse nichtsyphilitische (bakterielle oder fungale) Aortitis

  • Nichtinfektiöse Aortitis im Sinne einer Vaskulitis großer Arterien (z. B. Takayasu-Arteriitis, Riesenzellarteriitis und Atherosklerose)

Die Feststellung der individuellen Ursache einer Aortitis ist von besonderem Interesse, da beispielsweise eine immunsuppressive Therapie einen aktiven infektiösen Prozess aggravieren kann (Gornik und Creager 2008).

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Literatur

  • Bronze MS, Shirwany A, Corbett C, Schaberg DR (1999) Infectious aortitis: an uncommon manifestation of infection with Streptococcus pneumonia. Am J Med 107:627–630

    Article  CAS  PubMed  Google Scholar 

  • Cheng TO (2001) Syphilitic aortitis is dying but not dead. Catheter Cardiovasc Interv 52:240–241

    Article  CAS  PubMed  Google Scholar 

  • Chirinos JA, Tamariz LJ, Lopes G, Del Carpio F, Zhang X, Milikowski C, Lichtstein DM (2004) Large vessel involvement in ANCA-associated vasculitides: report of a case and review of the literature. Clin Rheumatol 23:152–159

    Article  PubMed  Google Scholar 

  • Cohen MG, Anderson RD, Navia D, Belloso W, Gallo A, Grinfeld LR (2001) Syphilitic aortitis. Catheter Cardiovasc Interv 52:237–239

    Article  CAS  PubMed  Google Scholar 

  • Deitch JS, Plonk GW, Hagenstad C, Hansen KJ, Peacock JE Jr, Ligush J Jr (1999) Cryptococcal aortitis presenting as a ruptured mycotic abdominal aortic aneurysm. J Vasc Surg 30:189–192

    Article  CAS  PubMed  Google Scholar 

  • Donabedian H (1989) Long-term suppression of Salmonella aortitis with an oral antibiotic. Arch Intern Med 149:1452

    Article  CAS  PubMed  Google Scholar 

  • Erbel R, Alfonso F, Boileau C, Dirsch O, Eber B, Haverich A, Rakowski H, Struyven J, Radegran K, Sechtem U, Taylor J, Zollikofer C, Klein WW, Mulder B, Providencia LA, Task Force on Aortic Dissection, European Society of Cardiology (2001) Diagnosis and management of aortic dissection. Eur Heart J 22:1642–1681

    Article  CAS  PubMed  Google Scholar 

  • Evangelista A, Mukherjee D, Mehta RH, O'Gara PT, Fattori R, Cooper JV, Smith DE, Oh JK, Hutchison S, Sechtem U, Isselbacher EM, Nienaber CA, Pape LA, Eagle KA, International Registry of Aortic Dissection (IRAD) Investigators (2005) Acute intramural hematoma of the aorta: a mystery in evolution. Circulation 111:1063–1070

    Article  PubMed  Google Scholar 

  • Gomes MN, Choyke PL (1992) Infected aortic aneurysms: CT diagnosis. J Cardiovasc Surg (Torino) 33:684–689

    CAS  Google Scholar 

  • Gomes MN, Choyke PL, Wallace RB (1992) Infected aortic aneurysms. A changing entity. Ann Surg 215:435–442

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Gonda RL Jr, Gutierrez OH, Azodo MV (1988) Mycotic aneurysms of the aorta: radiologic features. Radiology 168:343–346

    Article  PubMed  Google Scholar 

  • Gornik HL, Creager MA (2008) Aortitis. Circulation 117:3039–3051

    Article  PubMed Central  PubMed  Google Scholar 

  • Gravallese EM, Corson JM, Coblyn JS, Pinkus GS, Weinblatt ME (1989) Rheumatoid aortitis: a rarely recognized but clinically significant entity. Medicine (Baltimore) 68:95–106

    Article  CAS  Google Scholar 

  • Guard RW, Gotis-Graham I, Edmonds JP, Thomas AC (1995) Aortitis with dissection complicating systemic lupus erythematosus. Pathology 27:224–228

    Article  CAS  PubMed  Google Scholar 

  • Ishikawa K (1988) Diagnostic approach and proposed criteria for the clinical diagnosis of Takayasu’s arteriopathy. J Am Coll Cardiol 12:964–972

    Article  CAS  PubMed  Google Scholar 

  • Kearney RA, Eisen HJ, Wolf JE (1994) Nonvalvular infections of the cardiovascular system. Ann Intern Med 121:219–230

    Article  CAS  PubMed  Google Scholar 

  • Kimura F, Satoh H, Sakai F, Nishii N, Tohda J, Fujimura M, Haruta S, Yamazaki K, Endo M, Sakomura Y, Kurosama H, Kasanuki H (2004) Computed tomographic findings of syphilitic aortitis. Cardiovasc Intervent Radiol 27:179–181

    Article  PubMed  Google Scholar 

  • von Kodolitsch Y, Csösz SK, Koschyk DH, Schalwat I, Loose R, Karck M, Dieckmann C, Fattori R, Haverich A, Berger J, Meinertz T, Nienaber CA (2003) Intramural hematoma of the aorta: predictors of progression to dissection and rupture. Circulation 107:1158–1163

    Article  Google Scholar 

  • Matsunaga N, Hayashi K, Sakamoto I, Matsuoka Y, Ogawa Y, Honjo K, Takano K (1998) Takayasu arteritis: MR manifestations and diagnosis of acute and chronic phase. J Magn Reson Imaging 8:406–414

    Article  CAS  PubMed  Google Scholar 

  • Nguyen B, Müller M, Kipfer B, Berdat P, Walpoth B, Althaus U, Carrel T (1999) Different techniques of distal aortic repair in acute type A dissection: impact on late aortic morphology and reoperation. Eur J Cardiothorac Surg 15:496–500

    Article  CAS  PubMed  Google Scholar 

  • Nomura M, Kida S, Yamashima T, Yamashita J, Yoshikawa J, Matsui O (1999) Percutaneous transluminal angioplasty and stent placement for subclavian and brachiocephalic artery stenosis in aortitis syndrome. Cardiovasc Intervent Radiol 22:427–432

    Article  CAS  PubMed  Google Scholar 

  • O'Duffy JD (1990) Vasculitis in Becet’s disease. Rheum Dis Clin North Am 16:423–431

    PubMed  Google Scholar 

  • Oskoui R, Davis WA, Gomes MN (1993) A report of a successfully treated case with a comprehensive review of the literature. Arch Intern Med 153:517–525

    Article  CAS  PubMed  Google Scholar 

  • Pasic M, Carrel T, Vogt M, von Segesser L, Turina M (1992) Treatment of mycotic aneurysm of the aorta and its branches: the location determines the operative technique. Eur J Vasc Surg 6:419–423

    Article  CAS  PubMed  Google Scholar 

  • Reinhold-Keller E, Herlyn K, Wagner-Bastmeyer R, Gross WL (2005) Stable incidence of primary systemic vasculitis over five years: results from German vasculitis register. Arthritis Rheum 53:93–99

    Article  PubMed  Google Scholar 

  • Ruppert V, Verrel F, Kellner W, Brandl T, Reininger CB, Steckmeier B (2004) Endovascular repair of inflammatory abdominal aortic aneurysms: a valuable alternative? Case report and review of literature. Ann Vasc Surg 18:357–360

    Article  PubMed  Google Scholar 

  • Salvarani C, Crowson CS, O'Fallon WM, Hunder GG, Gabriel SE (2004) Reappraisal of the epidemiology of giant cell arteritis in Olmsted Country, Minnesota, over a fifty-year period. Arthritis Rheum 51:264–268

    Article  PubMed  Google Scholar 

  • Sasaki S, Kubota S, Kunihara T, Shiiya N, Yasuda K (2000) Surgical experience of the thoracic aortic aneurysm due to Takayasu’s arteritis. Int J Cardiol 75(Suppl 1):S129–S134

    Article  PubMed  Google Scholar 

  • Scheel AK, Meller J, Vosshenrich R, Kohlhoff E, Siefker U, Müller GA, Strutz F (2004) Diagnosis and follow up or aortitis in the elderly. Ann Rheum Dis 63:1507–1510

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Selim AG, Fulford LG, Mohiaddin RH, Sheppard MN (2001) Active aortitis in relapsing polychondritis. J Clin Pathol 54:890–892

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Soravia-Dunand VA, Loo VG, Salit IE (1999) Aortitis due to Salmonella: report of 10 cases and comprehensive review of the literature. Clin Infect Dis 29:862–868

    Article  CAS  PubMed  Google Scholar 

  • Taylor LM Jr, Deitz DM, McConnell DB, Porter JM (1988) Treatment of infected abdominal aneurysms by extraanatomic bypass, aneurysm excision, and drainage. Am J Surg 155:655–658

    Article  PubMed  Google Scholar 

  • Tsui KL, Lee KW, Chan WK, Chan HK, Hon SF, Leung TC, Lee KL, Tsoi TH, Li SK (2004) Behcet’s aortitis and aortic regurgitation: a report of two cases. J Am Soc Echocardiogr 17:83–86

    Article  PubMed  Google Scholar 

  • Wang YM, Mak GY, Lai KN, Lui SF (1998) Treatment of Takayasu’s aortitis with percutaneous transluminal angioplasty and wall stent: a case report. Angiology 49:945–949

    Article  CAS  PubMed  Google Scholar 

  • Willett WF 3rd, Kahn MJ, Gerber MA (1996) Lupus aortitis: a case report and review of the literature. J La State Med Soc 148:55–59

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Med. Klinik I Kardiologie, Universitätsmedizin Rostock, Zentrum für Innere Medizin, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland

    Prof. Dr. med. Christoph A. Nienaber

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  1. Prof. Dr. med. Christoph A. Nienaber
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Correspondence to Christoph A. Nienaber .

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Editors and Affiliations

  1. Medizinische Klinik I, Universitätsklinikum Schleswig-Hoslstein, Campus Lübeck, Lübeck, Schleswig-Holstein, Germany

    Hendrik Lehnert

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Nienaber, C.A. (2014). Aortitis. In: Lehnert, H. (eds) SpringerReference Innere Medizin. SpringerReference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54676-1_195-1

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  • DOI: https://doi.org/10.1007/978-3-642-54676-1_195-1

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  • Online ISBN: 978-3-642-54676-1

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