title: [Inflammatory aneurysm of the abdominal aorta: TC assessment of the postoperative course].
abstract: This study was aimed at investigating CT reliability in the postoperative follow-up of inflammatory abdominal aortic aneurysms (IAAA) previously treated with prosthesis positioning. During the last 5 years, 13 male patients operated on for subrenal IAAA with intraluminal prosthesis positioning, were followed-up with CT. All CT images were reviewed by three radiologists to assess prosthesis integrity; the possible presence of intraluminal thrombosis was investigated, together with pre/postprosthetic dilatation and the involvement of inferior vena cava, ureters and third duodenal segment. The prostheses were intact and no signs of intraluminal thrombosis were depicted in all patients; a periprosthetic dilation of abdominal aorta associated with parietal thrombosis was observed in one patient. Nine patients exhibited mild-moderate thickening of the original aortic or iliac walls; the inferior vena cava was involved in 6 of them and the left ureter in one. Contact with the III duodenal segment was found in 3 patients. In conclusion, CT proves to be a reliable technique in the postoperative follow-up of IAAA, yielding accurate information about the prosthesis, the aortoiliac walls and retroperitoneal structures. Moreover, in our experience late postoperative complications were not of major clinical importance.
authors.affiliation: U.O. Radiodiagnostica II, Azienda Ospedaliera Pisana, Ospedale di Cisanello.
authors.forename: R
authors.initials: R
authors.lastname: Gigoni
authors.forename: P
authors.initials: P
authors.lastname: Boraschi
authors.forename: F
authors.initials: F
authors.lastname: Cartei
authors.forename: G
authors.initials: G
authors.lastname: Braccini
authors.forename: G
authors.initials: G
authors.lastname: Perri
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D001025:Aortitis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D015203:Reproducibility of Results; D014057:Tomography, X-Ray Computed
vernacular_title: Aneurismi infiammatori dell'aorta addominale: valutazione TC degli esiti post-operatori.