Late Complications After Aortic Surgery

Ureteric Obstruction of Solitary Kidney Following Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm: A Case Report

“…7 Ureteric obstruction has been documented following open repair of AAA, and its incidence is reported to be low ð4.6%Þ. 8 It has been claimed that in most cases, these are asymptomatic and about half resolves spontaneously. 9 One study suggested that patients who had bifurcation grafts for ruptured AAAs represented a high-risk group for ureteric obstruction, 8 presumably due to fibrosis following retroperitoneal hemorrhage.…”

“…8 It has been claimed that in most cases, these are asymptomatic and about half resolves spontaneously. 9 One study suggested that patients who had bifurcation grafts for ruptured AAAs represented a high-risk group for ureteric obstruction, 8 presumably due to fibrosis following retroperitoneal hemorrhage. The problem of ureteric obstruction following endovascular repair of AAA, which is not associated with perianeurysmal inflammation and fibrosis, is not documented in the English language literature.…”

Ureteral Obstruction Following Aortic Surgery: Guidelines for Successful Management

“…Another common etiology for the development of late ureteral obstructions is a marked Figure 6. Angiography demonstrated a left iliac artery pseudoaneurysm at the anastomosis to the distal common iliac arteries.…”

“…Ureteral complications have been infrequently reported following the procedure. [1][2][3][4][5][6][7] Intraoperative iatrogenic trauma to the ureters occurs more often after emergency operations for ruptured aneurysms. Secondary ureteral obstruction has been noted in 8% to 20% of patients within the first year after the operation but is often self-limited and resolves without intervention.8 Occurrence after 12 months may carry the potential of concomitant graft infection and mandate a careful diagnostic work-up.…”