Repetitive complications after prosthetic graft for inflammatory aortic aneurysm

Related Experiment Video

Updated: Mar 16, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.9K

Yoshihiro Takeda1, Masahiro Daimon2, Motomu Tsuji3

  • 1Department of Cardiology, Osaka Medical College, Osaka, Japan.

SAGE Open Medical Case Reports
|August 5, 2016
PubMed

Insights

Retroperitoneal fibrosis after aortic graft replacement indicates a poor prognosis. This case highlights a patient with ureteral obstruction due to this condition following multiple aortic graft surgeries.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Infectious Diseases

Background:

  • Retroperitoneal fibrosis (RPF) is a known complication following aortic graft replacement.
  • RPF can lead to serious complications such as ureteral obstruction.
  • Recurrent infections and fistulas can complicate aortic graft procedures.

Purpose of the Study:

  • To report a case of ureteral obstruction caused by retroperitoneal fibrosis after aortic graft replacement.
  • To illustrate the management challenges in patients with recurrent aortic graft complications.

Main Methods:

  • Case report of a 39-year-old male patient.
  • Review of medical history including repeated aortic graft replacement for bacteremia and fistula.
  • Description of management involving intravenous antibiotic therapy.

Main Results:

  • The patient experienced ureteral obstruction secondary to retroperitoneal fibrosis.
  • Successful treatment with a 4-week course of intravenous antibiotics after the latest aortic graft replacement.

Conclusions:

  • Retroperitoneal fibrosis is a significant complication associated with aortic graft replacement.
  • Prompt diagnosis and management are crucial for patients presenting with ureteral obstruction and a history of aortic grafts.
  • This case underscores the importance of considering RPF in the differential diagnosis of obstructive uropathy in this patient population.
Keywords:
Aortic graft infectiongraft thrombosisinflammatory aortic aneurysmretroperitoneal fibrosis

More Related Videos

A New Murine Model of Endovascular Aortic Aneurysm Repair08:51

A New Murine Model of Endovascular Aortic Aneurysm Repair

Published on: July 7, 2013

14.9K
A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats06:50

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

Published on: August 15, 2025

498

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
435
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
515
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
482
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
1.1K
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
569
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
537