If rheumatic aortitis is suspected, C-reactive protein, blood immunoglobulins, antinuclear antibodies, circulating immunocomplexes, etc. are examined. Serological blood tests (RPR test) or cerebrospinal fluid are necessary to confirm syphilitic aortitis. In case of tuberculous aortitis, a sputum examination for VC by PCR, a complete x-ray examination (lung x-ray, tomography) is indicated. Diagnosis of bacterial aortitis requires blood cultures for sterility.
To find out the causes of damage to the aorta, patients with suspected aortitis should be consulted by a venereologist, rheumatologist, phthisiatrician, cardiologist. To substantiate the diagnosis of aortitis, it is necessary to study clinical, laboratory and instrumental data.
The data obtained are refined using ultrasound, aortography, CT or MSCT of the aorta. Differential diagnosis of aortitis is carried out with atherosclerosis of the aorta, coronary artery disease. Treatment of aortitis is inextricably linked with active therapy of the underlying disease. In infectious aortitis, antibiotics are the first-line drugs; with allergic aortitis - glucocorticoids, NSAIDs, immunosuppressants; with syphilitic aortitis - preparations of bismuth, iodine, antibiotics of the penicillin series. The effectiveness of therapy is monitored by the dynamics of clinical and laboratory parameters.
The presence of an aortic aneurysm, especially signs of its dissection, is the basis for consulting a vascular surgeon and angiosurgical treatment - aneurysm resection followed by aortic replacement. With the development of aortic stenosis, balloon dilation, stenting, or bypass may be required.
The severity of the prognosis for aortitis is determined by its form and etiology.
The most serious prognosis for acute and subacute bacterial aortitis.
The course of syphilitic and tuberculous aortitis is the more favorable, the earlier specific treatment is started. The development of other forms of chronic aortitis is more dependent on the underlying disease. In the absence of treatment, the disease is prone to progression and complicated course.
For the prevention of aortitis, timely treatment of primary diseases, prevention of STDs, and active detection of tuberculosis are of paramount importance.
Aortitis is inflammation of the aorta. Acute A. develops in connection with acute infectious diseases or traumatic injuries, chronic as a consequence of acute A., as well as on the basis of chronic infections, mainly syphilis, as well as Great Soviet Encyclopedia.