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Novel Management of Peri-Aortitis after Endovascular Repair of Abdominal Aortic Aneurysm
Matthew Trinder1, Bibombe P Mwipatayi1,2, Teck Siew3
1Department of Vascular Surgery, Royal Perth Hospital, Perth, Australia.
Introduction:
The management of peri-aortitis, a rare complication after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAA), is described in a patient with a solitary kidney.
Report:
A 64 year old man who developed peri-aortitis after elective EVAR for a 6.6 cm infrarenal AAA is reported. Peri-aortitis was diagnosed two months after the procedure and was successfully treated with corticosteroids.
Conclusion:
There is no clear consensus on the best medical therapy for peri-aortitis secondary to EVAR. Peri-aortitis must be considered in patients with ongoing systemic symptoms of inflammation after EVAR, and early management is crucial to the early resolution of symptoms.
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