一名39岁男子因与大动脉炎相关的主动脉扩张引起的严重主动脉瓣反流而入院，患有急性心力衰竭。由于与大动脉炎相关的活跃炎症阶段，手术通常在类固醇治疗免疫抑制后进行.在这里，我们报告了活跃炎症阶段的良好恢复。手术后不久开始类固醇治疗。决定在不进行类固醇治疗的情况下进行主动脉根部置换，因为患者随后发生心力衰竭的风险被认为很高，并且因其他合并症而复杂化。
A 39-year-old man was admitted with acute heart failure due to severe aortic regurgitation induced by annuloaortic ectasia associated with Takayasu\'s arteritis. Because of the active inflammatory phase associated with Takayasu\'s arteritis, surgery is typically performed following immune suppression by steroid therapy. Herein, we report a favorable recovery in the active inflammatory phase. Steroid therapy was initiated shortly following surgery. The decision to perform aortic root replacement without prior steroid therapy was made because the patient\'s risk of subsequent heart failures was deemed high and was complicated by other comorbidities.
