title: Endovascular repair of sealed rupture of a thoracic inflammatory aneurysm that developed after corticosteroid therapy.
abstract: A 53-year-old man was admitted to our hospital with thoracic back pain and weight loss. Computed tomography revealed inflammatory aortic aneurysm (IAA) of the descending aorta. Sealed rupture of the aneurysm occurred while the patient was under corticosteroid therapy. Endovascular aneurysm repair (EAR) was performed without postoperative complications. Periaortic fibrosis was remarkably decreased three months later while the patient was under prednisolone (20 mg) administration. We believe that EAR could become a practical alternative to open surgical repair. The possibility of an aneurysm rupturing during corticosteroid therapy for IAA should be considered.
authors.affiliation: Department of Internal Medicine, Osaka City General Hospital, Osaka, Japan. minet56@yahoo.co.jp
authors.forename: Tomoko
authors.initials: T
authors.lastname: Miyashita
authors.forename: Katsunobu
authors.initials: K
authors.lastname: Yoshioka
authors.forename: Mikiko
authors.initials: M
authors.lastname: Shibata
authors.forename: Yu
authors.initials: Y
authors.lastname: Kasamatsu
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Nakamura
authors.forename: Manabu
authors.initials: M
authors.lastname: Motoki
authors.forename: Masaaki
authors.initials: M
authors.lastname: Kato
authors.forename: Koji
authors.initials: K
authors.lastname: Hattori
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Shibata
authors.forename: Keiko
authors.initials: K
authors.lastname: Yamagami
mesh_terms: D000305:Adrenal Cortex Hormones / Q000009:adverse effects*; D017545:Aortic Aneurysm, Thoracic / Q000139:chemically induced / Q000175:diagnosis* / Q000601:surgery; D001019:Aortic Rupture / Q000139:chemically induced / Q000175:diagnosis* / Q000601:surgery; D004730:Endothelium, Vascular / Q000187:drug effects / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures
chemical_list: D000305:Adrenal Cortex Hormones