Regression of perianeurysmal fibrosis and ureteral dilation following endovascular repair of inflammatory abdominal aortic aneurysm.
An inflammatory component to abdominal aortic aneurysms (AAA) is thought to occur in approximately 5% of cases. Accompanying ureteral entrapment may be involved in 20% of these. Transabdominal repair of inflammatory AAA with ureterolysis may result in increased complications. Many authorities have recommended a retroperitoneal approach to decrease dissection. Similarly, an endovascular approach has been utilized. We report here the results of a patient with an inflammatory AAA with bilateral ureteral obstruction successfully treated with endovascular stent graft repair and bilateral ureteral stents with exclusion of the aneurysm and resolution of hydronephrosis.
Rehring
T F
TF
Division of Vascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Brewster
D C
DC
Kaufman
J A
JA
Fan
C M
CM
Geller
S C
SC
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D002404:Catheterization / Q000295:instrumentation; D006801:Humans; D008297:Male; D012185:Retroperitoneal Fibrosis / Q000209:etiology* / Q000628:therapy*; D015607:Stents; D014517:Ureteral Obstruction / Q000209:etiology* / Q000628:therapy*; D014656:Vascular Surgical Procedures / Q000295:instrumentation