ABC | Volume 111, Nº4, Octuber 2018

Image Cordeito et al Takayasu arteritis Arq Bras Cardiol. 2018; 111(4):638-639 Figure 1 – A) Non-contrast computed tomography showing low-attenuation concentric mural thickening of the thoracic and abdominal aorta (43 HU). B and C) Computed tomography angiography revealing enhancement of the mural thickening of the thoracic and abdominal aorta (73 HU). D) Transesophageal echocardiogram presenting thickening of the thoracic aorta after the Valsalva sinus. E and F) Cardiovascular magnetic resonance imaging demonstrating that mural thickening was hypointense on T1-weighted images (E, orange arrow) and hyperintense on T2-weighted images (F, red arrow), consistent with aortitis. G) Positron emission. Tomography after fifteen days of steroid therapy showing a discrete tracer uptake in the thoracic aorta (white arrow). H) Computed tomography angiography revealing type A aortic dissection six weeks after the initial diagnosis of Takayasu arteritis. 1. Hartlage GR, Palios J, Barron BJ,Stillman AE, Bossone E, Clements SD, et al. Multimodality imaging of aortitis. JACC Cardiovasc Imaging . 2014;7(6): 605-19. 2. Restrepo CS, Ocazionez D, Suri R, Vargas D. Aortitis: imaging spectrum of the infectious and inflammatory conditions of the aorta. Radiographics . 2011; 31:435-51. 3. de Souza AW, de Carvalho JF. Diagnostic and classification criteria of Takayasu arteritis. J Autoimmun . 2014; 48-49: 79-83. 4. Gornik HL , Creager MA. Aortitis. Circulation . 2008; 117(23): 3039-51. 5. TyagiS,BansalA,GuptaMD,GirishMP.Endovascularmanagementofacuteaortic dissection inTakayasuArteritis. JACCCardiovascInterv .2018;11(12):e99-e101. References This is an open-access article distributed under the terms of the Creative Commons Attribution License 639

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