A Case of Descending Thoracic and Abdominal Aortic Aneurysm with Ankylosing Spondylitis

Yeo-Ree Yang; Rae Seok Lee; Tae-Hyun Ban; Jae Hyun Seo; Dae-Jun Kim; Seung Min Jung; Sung-Hwan Park

doi:10.4078/jrd.2014.21.1.43

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Yang, Lee, Ban, Seo, Kim, Jung, and Park: A Case of Descending Thoracic and Abdominal Aortic Aneurysm with Ankylosing Spondylitis

Case Report

J Rheum Dis 2014;21(1):43-45.

Published online: 31 February 2014

DOI: https://doi.org/10.4078/jrd.2014.21.1.43

A Case of Descending Thoracic and Abdominal Aortic Aneurysm with Ankylosing Spondylitis

Yeo-Ree Yang, Rae Seok Lee, Tae-Hyun Ban, Jae Hyun Seo, Dae-Jun Kim, Seung Min Jung, Sung-Hwan Park

Division of Rheumatology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Corresponding to : Sung-Hwan Park, The Center for Rheumatic Disease, Division of Rheumatology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul 137-701, Korea. E-mail: rapark@catholic.ac.kr

Received 24 May 201328 May 2013 Accepted 29 May 2013

This is a Free Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ankylosing spondylitis (AS) is a systemic inflammatory disorder that affects the axial skeleton. It often involves the extraarticular organs. Cardiovascular involvement is one of the extraarticular manifestations, which is mostly represented by aortic root, valvular heart disease, and conduction disturbances. An aortic sclerosing inflammatory process induces aortic root thickening and rigidity. An aortic aneurysmal change is a rare complication that often leads to life threatening conditions. A few cases regarding aortic aneurysm have been reported, but there are no reported cases in Korea. We report the first case of descending thoracic and abdominal aortic aneurysm in a patient with ankylosing spondylitis.

Keywords: Ankylosing spondylitis, Extra-articular manifestation, Cardiovascular, Aortic aneurysm

References

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Figure 1.

Sacroiliitis at initial presentation. (A) Subchondral sclerosis with periarticular erosions were observed at both sacroiliac joint in plain pelvic X-ray. Narrowing of the sacroiliac spaces also could be seen (arrowheads: Sacroiliitis, New York classification III). (B) Pelvic magnetic resonance imaging showed bone marrow edema and joint space narrowing in right sacroiliac joint. Also synovial enhancement and subchondral erosions were seen (arrow).

Figure 2.

Incidentally detected aortic aneurysm. (A) Chest computed tomographic imaging of three-dimensional reconstruction shows a dilated descending aorta (yellow arrows). Aortic root and aortic arch appeared to be normal. (B) Continuing abdominal aortic aneurysm involves the suprarenal and infrarenal segment of abdominal aorta (white arrows).

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