Aortitis natural history, complications and prognosis
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [3]
Overview
If left untreated, infectious aortitis is associated with a high rate of aortic rupture and subsequent mortality. Aortitis due to either giant cell arteritis or Takayasu arteritis has a high rate of recurrence despite therapy.[1] Common complications of aortitis include: aortic aneurysm, aortic rupture, aortic dissection, thrombus formation in the aortic lumen, and hypertension. The prognosis of infectious aortitis is generally poor. Prognosis of isolated aortitis and aortitis associated with rheumatic diseases is generally good with prompt diagnosis.[2]
Natural History
If left untreated, infectious aortitis is associated with a high rate of rupture and subsequent mortality. Aortitis due to either giant cell arteritis or Takayasu arteritis has a high rate of recurrence despite therapy.[1]
Complications
Common complications of aortitis include:[1]
- Aortic aneurysm
- Aortic rupture
- Aortic dissection
- Thrombus formation in the aortic lumen
- Hypertension
Prognosis
The prognosis of infectious aortitis is generally poor. Prognosis of isolated aortitis and aortitis associated with rheumatic diseases is generally good with prompt diagnosis.[2]
References
- ↑ 1.0 1.1 1.2 Gornik HL, Creager MA (2008). “Aortitis”. Circulation. 117 (23): 3039–51. doi:10.1161/CIRCULATIONAHA.107.760686. PMC 2759760. PMID 18541754.
- ↑ 2.0 2.1 “Isolated aortitis”.Accessed on September 14th, 2015
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