Surgical Treatment in a Case of Cogan's Syndrome Complicated With Proximal Aortic Vasculitis Mehmet Kaya, MD, Korhan Erkanlı, MD, Furkan Kılınç, MD,

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Surgical Treatment in a Case of Cogan's Syndrome Complicated With Proximal Aortic Vasculitis Mehmet Kaya, MD, Korhan Erkanlı, MD, Furkan Kılınç, MD, Mehmet Sar, MD, İhsan Bakır, MD The Annals of Thoracic Surgery Volume 100, Issue 4, Pages 1467-1469 (October 2015) DOI: 10.1016/j.athoracsur.2015.01.049 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomographic cross-sectional view of patient with Cogan’s syndrome, showing normal proximal aorta before aortic valve replacement. The Annals of Thoracic Surgery 2015 100, 1467-1469DOI: (10.1016/j.athoracsur.2015.01.049) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Computed tomographic cross-sectional view of patient with Cogan’s syndrome, showing dilatation of proximal aorta after aortic valve replacement. The Annals of Thoracic Surgery 2015 100, 1467-1469DOI: (10.1016/j.athoracsur.2015.01.049) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Computed cross-sectional view of patient with Cogan’s syndrome, showing marked circumferential aortic wall thickness after aortic valve replacement. The Annals of Thoracic Surgery 2015 100, 1467-1469DOI: (10.1016/j.athoracsur.2015.01.049) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Histopathologic view showing hyalinized fibrous tissue, dystrophic calcification, increase in connective tissue and plasma cells, and infiltration of macrophages into the arterial wall from the luminal and adventitial sides, leading to inflammation of all layers of the artery. (Hematoxylin and eosin, ×40.) The Annals of Thoracic Surgery 2015 100, 1467-1469DOI: (10.1016/j.athoracsur.2015.01.049) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions