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[A case of aortitis syndrome]
1Department of Radiology, Miyagi Prefectural Semine Hospital.
Insights
This report details a rare case of aortitis syndrome presenting with anginal chest pain. Unusual cerebral angiography findings, including a tortuous and dilated right vertebral artery, were observed in this patient.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Vascular Surgery
Background:
- Aortitis syndrome is a rare inflammatory condition affecting the aorta.
- Angina pectoris is typically associated with coronary artery disease.
- The relationship between aortitis syndrome and cardiac symptoms requires further investigation.
Observation:
- A 57-year-old woman presented with anginal chest pain.
- Coronary angiography revealed atherosclerosis, not typical signs of aortitis syndrome.
- Cerebral angiography showed a tortuous and dilated right vertebral artery, with other cerebral vessels not visualized.
Findings:
- The patient exhibited coronary atherosclerosis and unique cerebral vascular abnormalities.
- These findings are rare and not characteristic of typical aortitis syndrome presentations.
- The case highlights potential atypical manifestations of aortitis syndrome.
Implications:
- This case expands the understanding of aortitis syndrome's diverse clinical presentations.
- It suggests a potential, though rare, link between aortitis syndrome and angina pectoris.
- Further research is warranted to explore the vascular and inflammatory connections in such cases.
Abstract:
A 57 years old woman was admitted for the investigation of anginal chest pain. Her coronary angiography didn't show any typical finding seen in the aortitis syndrome, but coronary sclerosis and stenosis seen in the usual atherosclerotic patients. The cerebral angiography was performed, too. The right vertebral artery, which was tortuous and dilated, was seen, but the other three cerebral vessels were not seen. These rare findings were reported in this report. We added the discussion about the relation between the aortitis syndrome and angina pectoris.