AORTITIS - A SILENT DISEASE AND SEVERE COMPLICATIONS
https://doi.org/10.17802/2306-1278-2017-6-4-148-154
Abstract
The article presents a clinical case of delayed diagnosis of extra-articular manifestations of ankylosing spondylitis and aortitis. 15 years after the onset of symptoms, this diagnosis was established when the irreversible joint damage and cardiovascular complications were present, namely extra-articular manufestatations of aortitis, i.e. ascending aortic extension and the total aortic insufficiency. This clinical case presents a successful surgical treatment of acquired aortic valve disease. The patient underwent the Bentall-de Bono procedure, including aortic valve replacement and plasty of the ascending aorta with a valved conduit “MedEng-23” (MedEng, Russia). Moreover, the current article highlights the problem of selecting optimal medical therapy (therapy for ankylosing spondylitis and anticoagulants) due to ad-verse drug interactions. The reasons for delayed diagnosis were analyzed. Unfortunately, the main reasons are subjec-tive, i.e. general physicians (non-rheumatologists) do not know well clinical signs and symptoms of this disease as well as imaging findings suggesting this diagnosis.
About the Authors
N. V. Kondrikova
Federal State Budgetary Institution «Research Institute for Complex Issues of Cariovascular Diseases»
Russian Federation
Russian Federation
Kondrikova Natalia.
6, Sosnoviy blvd., Kemerovo, 650002, +7(3842)64-31-53
O. A. Trubnikova
Federal State Budgetary Institution «Research Institute for Complex Issues of Cariovascular Diseases»
Russian Federation
Kemerovo
Russian Federation
Kemerovo
A. I. German
Federal State Budgetary Institution «Research Institute for Complex Issues of Cariovascular Diseases»
Russian Federation
Kemerovo
Russian Federation
Kemerovo
A. S. Danilovich
Federal State Budgetary Institution «Research Institute for Complex Issues of Cariovascular Diseases»
Russian Federation
Kemerovo
Russian Federation
Kemerovo
K. V. Ananeva
Federal State Budgetary Institution of Higher Education «Kemerovo State Medical University» the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
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Review
For citations:
Kondrikova N.V., Trubnikova O.A., German A.I., Danilovich A.S., Ananeva K.V. AORTITIS - A SILENT DISEASE AND SEVERE COMPLICATIONS. Complex Issues of Cardiovascular Diseases. 2017;6(4):148-154. (In Russ.) https://doi.org/10.17802/2306-1278-2017-6-4-148-154
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