Ruptured thoracic aortic aneurysm in patient with systemic lupus erythematosus

Conti, Daniel Oliveira de; Dias, Ricardo Ribeiro; Fiorelli, Alfredo Inácio; Stolf, Noedir A. G

doi:10.1590/s0102-76382011000100022

Cited by 8 publications

(5 citation statements)

References 4 publications

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“…Early recognition of aortic dissection is thus needed to perform timely surgical intervention and careful evaluation of patients with evidence of vasculitis and CMD especially in thoracic lesions. De Conti et al [3] reported a ruptured descending thoracic aortic aneurysm in a 25-yearold female with SLE who underwent 19 years of steroid therapy. She was treated with 2 endovascular stent-grafts and discharged from hospital 13 days after the procedure in good health.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Aneurysm Repair (EVAR) of an Infra-Renal Abdominal Aortic Aneurysm (AAA) in a Young Patient with Systemic Lupus Erythematosus (SLE)

Ng¹,

Tec²

2017

Vasc Med Surg

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Aortic aneurysms are a rare cardiovascular complication of Systemic Lupus Erythromatosus (SLE) and the true incidence is unknown. This case report shares our experience with a 40 year old lady suffering from SLE whose Abdominal Aortic Aneurysm (AAA) was treated successfully with endovascular aneurysm repair (EVAR). To the author's knowledge, the use of EVAR for AAA in SLE patients has not been reported in available literature. The pathogenesis and differences in aneurysmal disease in patients with SLE is also discussed.

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Section: Discussionmentioning

confidence: 99%

Endovascular Aneurysm Repair (EVAR) of an Infra-Renal Abdominal Aortic Aneurysm (AAA) in a Young Patient with Systemic Lupus Erythematosus (SLE)

Ng¹,

Tec²

2017

Vasc Med Surg

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“…reported a ruptured descending thoracic AA in a 25 year old female with SLE who underwent 19 years of steroid therapy. 9 She was treated with two endovascular stent grafts and discharged well 13 days after the procedure. Three months later, she returned with haemorrhagic shock from an aortic-esophageal fistula.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Aneurysm Repair (EVAR) of an Infrarenal Abdominal Aortic Aneurysm (AAA) in a Young Patient with Systemic Lupus Erythematosus (SLE)

Chong

2017

EJVES Short Reports

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IntroductionWhile hypertension, pericardial, myocardial, and coronary artery disease are common cardiovascular manifestations of systemic lupus erythematosus (SLE), aortic aneurysms (AA) are rare but increasingly diagnosed, with the true incidence unknown.Case reportA 40 year old female suffering from SLE with a 5.3 cm saccular eccentric infrarenal abdominal aortic aneurysm (AAA) was treated successfully with endovascular aneurysm repair (EVAR) using the Medtronic Endurant II bifurcated stent graft and followed up 2 years post-operatively. Pre-operatively, open and EVAR options were offered and the latter was chosen by the patient.DiscussionProposed mechanisms for AA formation in SLE including accelerated atherosclerosis brought about by chronic steroid use and SLE associated vasculitis and cystic medial degeneration (CMD) have been discussed in other case reports and series. To the authors' knowledge, the use of EVAR for AAA in SLE patients has not been reported in available literature. The need for earlier repair, screening, and detection as well as the long-term suitability, durability, and surveillance of EVAR remain unknown. The benefit of using the Ovation device in minimising late neck dilatation is also discussed.ConclusionEVAR was demonstrated to be a suitable form of repair in a young female patient with SLE and AAA, followed up 2 years post-surgery. The ideal repair and the natural history of these aneurysms remains to be studied.

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“…The authors concluded that tendon rupture in SLE seemed to be associated with extended disease duration, long-term treatment with steroids, and immunosuppressants. [4][5][6][7][8][9] Spontaneous rupture of the kidney is associated with underlying diseases of the kidney such as renal cell carcinoma, metastasis, angiomyolipoma, renal vein thrombosis, polyarteritis nodosa, granulomatosis with polyangiitis, or hydronephrosis. [10][11][12][13][14] Only one case of spontaneous kidney rupture with SLE has been reported in 1973.…”

Section: Discussionmentioning

confidence: 99%

“…Coagulation rates, thrombocyte counts, and thrombocyte functions of all SLE patients with organ rupture were found between normal ranges, which were also present in our patient. The authors concluded that tendon rupture in SLE seemed to be associated with extended disease duration, long‐term treatment with steroids, and immunosuppressants …”

Section: Discussionmentioning

confidence: 99%

Life‐threatening spontaneous kidney rupture in a rare case with systemic lupus erythematosus: Prompt diagnosis with computed tomography

Ufuk

Herek

2015

Hemodialysis International

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Nontraumatic, spontaneous parenchymal kidney rupture is a rare clinical entity that may cause extensive hemorrhage, hypovolemic shock, and death. Spontaneous nontraumatic kidney rupture is extremely rare in systemic lupus erythematosus (SLE) patients. Because of the high morbidity and mortality rates, an immediate establishment of the diagnosis and treatment are necessary. We present the case of a 30-year-old female with spontaneous parenchymal rupture of the right kidney who had renal failure due to SLE and presented with atraumatic sudden right flank pain during hemodialysis treatment. To our knowledge, this case is the second report of SLE manifesting as spontaneous kidney rupture in the literature.

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Ruptured thoracic aortic aneurysm in patient with systemic lupus erythematosus

Cited by 8 publications

References 4 publications

Endovascular Aneurysm Repair (EVAR) of an Infra-Renal Abdominal Aortic Aneurysm (AAA) in a Young Patient with Systemic Lupus Erythematosus (SLE)

Endovascular Aneurysm Repair (EVAR) of an Infra-Renal Abdominal Aortic Aneurysm (AAA) in a Young Patient with Systemic Lupus Erythematosus (SLE)

Endovascular Aneurysm Repair (EVAR) of an Infrarenal Abdominal Aortic Aneurysm (AAA) in a Young Patient with Systemic Lupus Erythematosus (SLE)

Life‐threatening spontaneous kidney rupture in a rare case with systemic lupus erythematosus: Prompt diagnosis with computed tomography

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