Introduction
Systemic lupus erythematosus (SLE) is an autoimmune disease with
multi-organ involvement and is associated with the presence of
autoantibodies. Patients with SLE often develop aortic events such as
aortic aneurysms and dissections1, 2. Pseudoaneurysms
are rare complications after aortic surgery and have been reported in
patients with SLE3. However, little is known about
true aneurysms of the residual ascending aorta after aortic surgery. We
report the case of a patient with SLE who developed a true aneurysm of
the ascending aorta 17 years after total arch replacement for an acute
aortic dissection.