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European Journal of Echocardiography Advance Access originally published online on May 13, 2008
European Journal of Echocardiography 2008 9(5):742-744; doi:10.1093/ejechocard/jen157
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Horton's aortitis

Vanessa Marchal* and Muriel Sprynger

CHU de Liège, Sart Tilman B35, Liège 4000, Belgium

Received 8 November 2007; received in revised form 12 April 2008; ; online publish-ahead-of-print 13 May 2008.

* Corresponding author. Tel: +32 498753676; fax: +32 43714416. E-mail address: vanessa{at}produweb.be


  Abstract

Giant cell arteritis is the most common systemic vasculitis in people over the age of 50 years. Ischaemic manifestations are well known. ‘Occult’ manifestations as aortic aneurysmal disease need consideration. The incidence of aortic aneurysm and/or dissection is about 18.5 per 1000 person-years at risk (18.9 in Lugo(4) and 18.7 in Olmsted County(3)). Predictive factors are hypertension, polymyalgia rheumatica, coronaropathy, and hyperlipaemia. Another factor is the apparition of an aortic regurgitation murmur as in this case. So, these patients should be monitored by echocardiography.

Keywords: Horton; Aneurysm; Multinucleated giant cell


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