Aort the pearl, incidentally detected aortitis during coronary bypass
surgery: A case report
Abstract
Aortitis, in its simplest definition, is an inflammation of the aorta.
It can be divided into two groups as infectious and non-infectious.
Noninfectious aortitis can be an involvement of multisystemic and
autoimmune diseases as well as being diagnosed incidentally. In our
case, in which we planned elective coronary bypass surgery, we
encountered an ascending aorta with a pearlish color, dilated and firm
consistency intraoperatively. Histopathological examination showed
extensive lymphoplasmocytic infiltration and strotiform fibrosis. In the
laboratory tests performed for etiology in the postoperative period, no
abnormalities were observed in the early and long term. Even when
detected isolated and incidentally, aortitis may be a component of a
multisystemic and/or autoimmune disease. The time of diagnosis may
coincide with the asymptomatic period of the systemic disease. We wanted
to present this case because it was detected incidentally during
coronary bypass surgery and was diagnosed histopathologically
immunoglobulin-G4 related aortitis, although it was not found in
clinical and laboratory evaluations.