Endovascular repair of sealed rupture of a thoracic inflammatory aneurysm that developed after corticosteroid therapy.
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.
Miyashita
Tomoko
T
Department of Internal Medicine, Osaka City General Hospital, Osaka, Japan. minet56@yahoo.co.jp
Yoshioka
Katsunobu
K
Shibata
Mikiko
M
Kasamatsu
Yu
Y
Nakamura
Tomoyuki
T
Motoki
Manabu
M
Kato
Masaaki
M
Hattori
Koji
K
Shibata
Toshihiko
T
Yamagami
Keiko
K
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
D000305:Adrenal Cortex Hormones