Clinical Features of Aortitis with Gastrointestinal Involvement

¹ Division of Gastroenterology, Department of Medicine, College of Medicine, King Khalid University Hospital, King Saud University, 11451 Riyadh, Saudi Arabia

² Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, 11472 Riyadh, Saudi Arabia

^*Correspondence: maltuwaijri@ksu.edu.sa (Mansour Altuwaijri)
^†These authors contributed equally.
Academic Editors: Brian Tomlinson and Takatoshi Kasai

Rev. Cardiovasc. Med. 2022, 23(5), 162; https://doi.org/10.31083/j.rcm2305162

Submitted: 4 January 2022 | Revised: 3 March 2022 | Accepted: 25 March 2022 | Published: 28 April 2022

(This article belongs to the Special Issue State-of-the-Art Cardiovascular Medicine in Asia 2021)

This is an open access article under the CC BY 4.0 license.

Abstract

Few vascultides have a predilection for the aorta. Among those are Takayasu arteritis, Behcet’s disease, giant cell arteritis, and infectious aortitis. Diagnosis of aortitis requires a high index of suspicion since clinical features are atypical and nonspecific. However, many patients present with gastrointestinal manifestations owing to mesenteric involvement, intestinal infarction, and hepatitis. The most common vascultides that involve the aorta are Takayasu arteritis, Behcet’s disease, giant cell arteritis, and infectious arteritis. Herewith, we review the literature on epidemiology, gastrointestinal manifestations, and management of each form of aortitis that affects the gastrointestinal tract.

Keywords

vasculitis

aortitis

gastrointestinal manifestations

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