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Inflammatory abdominal aortic aneurysms.
T Cheatle1, P Hickman, R P Grimley
1Department of Surgery, Wordsley Hospital, Stourbridge, West Midlands.
Journal of the Royal Society of Medicine
|December 1, 1987
Summary
Inflammatory abdominal aortic aneurysms present with a dense sheath and fibrosis. Surgical intervention offers good outcomes for most patients, though complications can occur.
Area of Science:
- Vascular Surgery
- Abdominal Aortic Aneurysm Research
- Inflammatory Conditions
Background:
- Approximately 10% of abdominal aortic aneurysms (AAAs) exhibit significant inflammation, characterized by a dense fibrotic sheath.
- The exact etiology of this inflammatory AAA subtype remains unknown.
- Characteristic imaging findings exist on ultrasound and CT, but diagnosis is often incidental during laparotomy.
Purpose of the Study:
- To describe the clinical presentation and surgical management of inflammatory abdominal aortic aneurysms.
- To report outcomes of surgical treatment in a series of patients with this condition.
- To highlight potential complications and alternative management strategies.
Main Methods:
- Retrospective review of 8 patients surgically treated for inflammatory abdominal aortic aneurysms over a 3-year period.
- Surgical approach focused on minimizing peri-aortic dissection.
- Consideration of ureterolysis for hydronephrosis secondary to ureteric involvement.
Main Results:
- Six out of eight patients experienced good surgical outcomes.
- One patient required a postoperative amputation.
- One late postoperative death was recorded.
Conclusions:
- Surgical treatment is the primary modality for inflammatory abdominal aortic aneurysms.
- Careful surgical technique is crucial to minimize complications.
- Steroid therapy and ureterolysis may be considered in specific clinical scenarios.