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The thoracic and abdominal aorta may be involved in the inflammatory process with equal probability. Aortitis rarely occurs as an independent disease: more often it is a manifestation of a systemic pathology of blood vessels, connective tissue, or an infectious process.
The main diseases and conditions that cause aortitis are:
Depending on the cause, the following forms of aortitis are distinguished: infectious (syphilitic, nonspecific infectious); allergic (autoimmune, infectious-allergic, toxic-allergic).
The main symptoms of aortitis, common to various provoking pathological conditions, are:
pain of Erythromycin intensity (from monotonous non-intense pressing to acute, intolerable nature), of different localization, depending on the level of damage to the aortic trunk (behind the sternum, in the abdominal cavity, in the lumbar region, with irradiation to neighboring anatomical zones); systolic murmur over the affected area of the aorta; severe weakness, intolerance to habitual physical exertion, chills, cold extremities.
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occurs in the period from 5 to 25 years from the moment of infection (specific history); no complaints for a long time; clinical manifestations are associated with aortic valve insufficiency, ischemia of the heart's own tissues (ischemic heart disease, coronary artery disease); the main complication is aneurysm (the most common cause of death in such patients).
Patients go to the doctor with complaints of a characteristic pain syndrome, a spontaneous rise in body temperature to high levels, general malaise, chills, and weakness. Aortitis is equally likely to affect the thoracic and abdominal aorta.
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Treatment is aimed primarily at eliminating the cause of aortitis, at alleviating painful symptoms (pain, circulatory disorders) and consists in prescribing: antibiotics; immunosuppressants; anti-inflammatory drugs; analgesics.
Aortitis rarely occurs as an independent disease: more often it is a manifestation of a systemic pathology of blood vessels, connective tissue, or an infectious process. With aortic aneurysm, its dissection, lesions of the mouths of the arteries extending from it, surgical treatment is indicated: resection of the affected segment with prosthetics. In case of nonspecific aortoarteritis, it is preferable to perform the operation after relief of acute inflammation.