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Aort the pearl, incidentally detected aortitis during coronary bypass surgery: A case report
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  • Abdul Kerim Buğra,
  • Aytul Buğra,
  • Ersin Kadirogullari,
  • Burak Onan
Abdul Kerim Buğra
Mehmet Akif Ersoy Thoracic and Cardiovascular Research and Education Hospital

Corresponding Author:[email protected]

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Aytul Buğra
Council of Forensic Medicine
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Ersin Kadirogullari
Mehmet Akif Ersoy Thoracic and Cardiovascular Research and Education Hospital
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Burak Onan
Mehmet Akif Ersoy Thoracic and Cardiovascular Research and Education Hospital
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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.