Abdominal aortic aneurysm with perianeurysmal fibrosis: Experience from 11 Swedish vascular centers

Lindblad, Bengt; Almgren, Bo; Bergqvist, David; Eriksson, I; Forsberg, Ola; Glimåker, H.; Jivegård, Lennart; Karlström, Lars; Lundqvist, B; Olofsson, Pär; Pláte, Gunnar; Thörne, Johan; Troëng, Thomas

doi:10.1016/0741-5214(91)90215-g

Cited by 92 publications

(62 citation statements)

References 5 publications

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“…Nitecki et al, in a casecontrol study using CT or ultrasound scans for follow-up, reported similar 5-year survival rates for inflammatory and noninflammatory AAAs, without any occurrence of pseudoaneurysms in inflammatory AAAs [15]. A review of the literature concerning graftrelated complications after inflammatory AAA repair is reported in Table 5 [10,12,14,15].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, they may be considered a distinct clinical entity because of their histologic features and associated surgical problems [2,[6][7][8][9]. Almost all reports concerning late outcomes after inflammatory AAA repair have focused on the evolution of perianeurysmal fibrosis [10][11][12][13]. Imaging follow-up studies of graftrelated complications in comparison with those of noninflammatory AAAs have rarely been reported [14][15][16].…”

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confidence: 99%

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Long‐term Outcome after Inflammatory Abdominal Aortic Aneurysm Repair: Case‐matched Study

et al. 2003

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Abstract. The purpose of this study was to compare early and late outcomes after inflammatory and noninflammatory abdominal aortic aneurysm (AAA) repair with emphasis on graft-related complications. Of 625 consecutive patients submitted to AAA repair, 18 were classified as having inflammatory AAAs (group 1). The results of this group were compared with those of 54 patients (group 2) retrospectively drawn from patients who underwent aortic replacement for noninflammatory AAAs. A computerassisted matching system was used to match patients according to date of birth, gender, and surgical priority. All patients of both groups were followed by periodic clinical and instrumental examinations. Patients in group 1 complained more frequently of aneurysm-related symptoms (72% vs. 20%; p = 0.0001), and their erythrocyte sedimentation rate was elevated more often (78% vs. 19%; p < 0.0001). Surgical morbidity and mortality rates were not different. The mean lengths of follow-up were 61 ± 47 months (group 1) and 71 ± 38 months (group 2). The 10-year overall survival rates did not differ significantly between the two groups (49.1% ± 16.9% for group 1 vs. 61.6% ± 13.8% for group 2; p = 0.26, log-rank test). In contrast, the free from paraanastomotic aneurysm survival rates were significantly lower in group 1 (57.3% ± 20.2% vs. 97.8% ± 2.5% at 10 years; p = 0.025, log-rank test). Long-term outcomes showed a higher incidence of graft-related complications in group 1. As inflammatory aneurysms might represent a risk factor for the development of paraanastomotic aneurysms, routine imaging surveillance of graft aortic healing after inflammatory AAA repair is warranted.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Long‐term Outcome after Inflammatory Abdominal Aortic Aneurysm Repair: Case‐matched Study

et al. 2003

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“…Symptoms of IAA include fever and weight loss, and mantle sign is a characteristic finding of IAA on computed tomography (CT). However, IAA of the thoracic aorta is seen only rarely, and few cases have been reported in the literature (4,5). We report herein a patient with fever of unknown origin who died suddenly of massive hemoptysis.…”

Section: Introductionmentioning

confidence: 91%

“…Epidemiologically, IAA is more common in men who are over 60 years old. Its incidence has been reported to be from 4 to 5% of all abdominal aortic aneurysms (1)(2)(3)(4). Clinical symptoms and laboratory data of patients with abdominal IAA are abdominal pain, lumbago, body weight loss, occlusion of the urinary tract or intestinal canal, elevation of the erythrocyte sedimentation rate and fever.…”

Section: (A) (B)mentioning

confidence: 99%

Sudden Death with Massive Hemoptysis from Rupture of a Thoracic Inflammatory Aortic Aneurysm: An Autopsy Case Report

et al. 2012

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An 84-year-old-man was admitted to the Department of Neurosurgery for a sudden episode of fainting. Brain computed tomography and magnetic resonance imaging demonstrated no fresh lesions. Anorexia, fever and elevation of C-reactive protein and creatine phosphokinase were observed, and the patient was transferred to the Department of Internal Medicine for further examination and treatment. High-dose steroids and antibiotics were administered, and his fever subsided. However, massive hemoptysis suddenly developed and the patient died. A thoracic aortic aneurysm that had coalesced and ruptured a left lung bronchus was detected at autopsy. Pathological examination revealed an inflammatory aortic aneurysm.

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“…A fistula probably forms due to the combination of the inflammatory process of the expanding abdominal aortic aneurysm and compression of the retroaortic left renal vein between the vertebral bodies and the pulsating aneurysm [53,54]. Also inflammatory abdominal aortic aneurysm in patients with retroaortic left renal vein independently increases the complication rate during aortic surgery [56,57].…”

Section: Retroaortic Left Renal Veinmentioning

confidence: 99%

Coexistence of the Aortic Aneurysm with the Main Vein Anomalies: Its Potential Clinical Implications and Vascular Complication

Polguj¹,

Stefańczyk²,

Stefańczyk³

2017

Aortic Aneurysm

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Four major variations of the venous system in the retroperitoneal space are the retroaortic left renal vein, left renal vein collar, left-sided inferior vena cava, and caval duplication. During surgery, especially, injury in veins is responsible for the most unexpected intraoperative bleeding. Therefore, above-mentioned anomalies pose potential hazards to surgeons during treatment of abdominal aortic aneurysm. Preoperative diagnosis is highly desirable but is not always available so, during abdominal surgery, familiarity with the anatomy of the most common types of venous variations is the first step toward preventing vascular injury. The chapter includes information describing the demographic, clinical, and morphological characteristics of the presence of the aforementioned main vein anomalies including: gender distribution, frequency in population, the most commonly reported symptoms, and associate complications. Massive intraoperative bleeding may be dangerous during aortic dissection; however, venous bleeding is more complicated than arterial hemorrhage. Significant venous bleeding, in particular, can occur if major retroperitoneal venous anomalies are present. The anomalous veins are typically thinwalled, dilated, and tortuous. As a result, manipulation of these veins during abdominal aortic surgery places the patient at high risk of long-term massive hemorrhage.

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Abdominal aortic aneurysm with perianeurysmal fibrosis: Experience from 11 Swedish vascular centers

Cited by 92 publications

References 5 publications

Long‐term Outcome after Inflammatory Abdominal Aortic Aneurysm Repair: Case‐matched Study

Long‐term Outcome after Inflammatory Abdominal Aortic Aneurysm Repair: Case‐matched Study

Sudden Death with Massive Hemoptysis from Rupture of a Thoracic Inflammatory Aortic Aneurysm: An Autopsy Case Report

Coexistence of the Aortic Aneurysm with the Main Vein Anomalies: Its Potential Clinical Implications and Vascular Complication

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