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Ann Thorac Surg 2008;85:317-319. doi:10.1016/j.athoracsur.2007.07.055
© 2008 The Society of Thoracic Surgeons
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Hitoshi Ogino
Hitoshi Matsuda
Kenji Minatoya
Soichiro Kitamura
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Case Reports

Multiple and Repetitive Anastomotic Pseudoaneurysms With Polyarteritis Nodosa

Yuki Nakamura, MD, Hitoshi Ogino, MD*, Hitoshi Matsuda, MD, Kenji Minatoya, MD, Hiroaki Sasaki, MD, Soichiro Kitamura, MD

Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan

Accepted for publication July 19, 2007.

* Address correspondence to Dr Ogino, Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1, Fujishirodai, Suita, Osaka, 565-8565, Japan (Email: hogino{at}hsp.ncvc.go.jp).

We report a rare case of a 50-year-old man with multiple and repetitive anastomotic pseudoaneurysms associated with polyarteritis nodosa. The pseudoaneurysms were located at the aortic root and the ascending aorta. Infectious and congenital etiologies, as well as nonbacterial inflammatory diseases, were ruled out. Idiopathic aortitis or aortitis due to polyarteritis nodosa might fit the case.




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