Endovascular repair of inflammatory abdominal aortic aneurysms: a valuable alternative?--Case report and review of literature.
While endovascular repair (ER) has become a routine procedure in the treatment of arteriosclerotic abdominal aortic aneurysms with a suitable configuration, only rare reports of interventional treatment of inflammatory aortic abdominal aneurysms (IAAA) exist. We present a case study of a male patient with IAAA, who presented with inflammatory thickening involving the entire circumference of the aortic vessel wall. The MRI performed 8 months after successful ER demonstrated complete regression of vessel wall induration. A patient with the appropriate anatomical configuration of IAAA should benefit from the lower morbidity and mortality of endovascular aneurysm repair (EVAR). In our view, EVAR is preferable to open surgical repair in the specific situation of IAAA.
Ruppert
Volker
V
Department of Vascular Surgery, University of Munich, Munich, Germany. volker.ruppert@ch-i.med.uni-muenchen.de
Verrel
Frauke
F
Kellner
Wolfgang
W
Brandl
Thomas
T
Reininger
Cornelia B
CB
Steckmeier
Bernd
B
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001025:Aortitis / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures