Giant-Cell Aortitis Causing an Aneurysm of the Ascending Aorta and Aortic Regurgitation

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Abstract
ANEURYSMS of the thoracic aorta may be of diverse etiology. Atherosclerosis, syphilis, medial degeneration, trauma and occasionally sepsis have been implicated.1 2 3 4 The present case represents a notable exception in that an aneurysm of the ascending aorta resulted from a nonspecific giant-cell aortitis.Case ReportA.L. (M.G.H. 1283255), a 30-year-old Negro mother of 7, entered the Massachusetts General Hospital because of increasingly severe dyspnea. There was no history of rheumatic fever, arthritis, venereal disease, tuberculosis or temporal headache. Five years previously she had noted the sudden onset of pain and weakness in the left arm; this difficulty cleared shortly, but . . .

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