1. Clinical and pathological spectrum of aortitis in a Chinese cohort.
- Author
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Qu W, Chen Y, and Zhang Z
- Subjects
- Humans, Male, Female, China epidemiology, Middle Aged, Adult, Retrospective Studies, Aged, Young Adult, Behcet Syndrome complications, Behcet Syndrome pathology, Behcet Syndrome epidemiology, Behcet Syndrome diagnosis, Risk Factors, Predictive Value of Tests, Treatment Outcome, Aorta pathology, Aorta surgery, Adolescent, Prognosis, East Asian People, Aortitis pathology, Aortitis epidemiology, Aortitis surgery, Takayasu Arteritis epidemiology, Takayasu Arteritis pathology, Takayasu Arteritis complications
- Abstract
Background: This study aimed to explore the clinical and pathological features of aortitis in China, which is a rare disease that is often overlooked preoperatively., Methods: We reviewed the records of 2950 patients who underwent aortic surgery at Wuhan Asia General Hospital from 2016 to 2023. Clinical and pathological data were collected and compared across different groups., Results: Out of 2950 patients, 15 had healed aortitis, 2 were healed Takayasu aortitis (TAK), and 13 were not further classified. Forty-two had active aortitis, including clinically isolated aortitis ([CIA], 42.9%), infectious aortitis ([IA], 26.2%), TAK (16.7%), and Behçet's syndrome ([BS], 14.3%), half of these cases were not recognized preoperatively. All patients who developed perivalvular leakage during follow-up had concurrent non-infectious valvulitis with mixed inflammatory pattern at the time of initial surgery. Seventeen out of 18 patients with CIA survived without complications, as did 8 out of 11 patients with IA, 6 out of 7 patients with TAK, and 2 out of 6 patients with BS., Conclusions: Half of the aortitis cases were initially diagnosed by pathologists. Noninfectious valvulitis with mixed inflammatory pattern is a risk factor for perivalvular leakage. BS is associated with a higher rate of complications. Patients with CIA have a good prognosis in China, which is different from the West., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Published
- 2024
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