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Ascending Aorta Replacement and Mitral Valve Replacement in a Patient with a History of Granulomatosis with Polyangiitis:Report of a Case Masahiko Kawamura 1 , Shigenobu Senaha 1 , Isao Nishijima 1 , Mitsuyoshi Shimoji 1 , Masato Hayakawa 2 , Satoshi Yamashiro 2 1Department of Cardiovascular Surgery, Nanbu Tokusyukai Hospital Keyword: granulomatosis with polyangiitis (GPA) , ascending aortic aneurysm pp.122-125
Published Date 2025/2/1
DOI https://doi.org/10.15106/j_kyobu78_122
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The patient is a 63-year-old man with a history of granulomatosis with polyangiitis (GPA). More than 10 years after the diagnosis of GPA and its remission, he was taken to the emergency room with the chief complaint of palpitation and dyspnea, and was referred to our department for surgery of aggravated mitral regurgitation. An ascending aortic aneurysm was incidentally disclosed during preoperative examinations. He underwent ascending aorta replacement, mitral valve replacement, and left side maze operation. Pathological findings of the aortic aneurysm wall were compatible with GPA. Although large vessels are rarely affected by GPA, patients with a history of GPA need regular cardiovascular follow-up even after remission.


© Nankodo Co., Ltd., 2025

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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