PT  - JOURNAL ARTICLE
AU  - Clifford, Alison H.
TI  - Incidentally detected noninfectious thoracic aortitis: A clinical approach
AID  - 10.3949/ccjm.91a.24030
DP  - 2024 Oct 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 621--633
VI  - 91
IP  - 10
4099  - http://www.ccjm.org/content/91/10/621.short
4100  - http://www.ccjm.org/content/91/10/621.full
SO  - Cleve Clin J Med2024 Oct 01; 91
AB  - Noninfectious aortitis is occasionally detected incidentally, either on imaging or on histopathologic review after open thoracic aortic surgery. It can present as a clinically asymptomatic, seemingly focal lesion, as diffuse inflammation throughout several aortic segments but sparing the branch vessels, or as a manifestation of a widespread systemic condition. Treatment differs based on etiology, so once identified, all patients with aortitis need a thorough evaluation, laboratory tests, complete large-vessel imaging, and a referral to a vasculitis expert. All patients with aortitis are at high risk of future vascular complications and should be followed with serial clinical evaluations and imaging.